Individual
TARA LORENZETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
19 E MAIN ST, MARLTON, NJ 08053-2172
(856) 985-9091
Mailing address
12 CROMWELL CT, EWING, NJ 08628-2223
(215) 279-0113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00684700
NJ
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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