Individual
MISS LUCELIS LOPEZ ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL HEALTH
Contact information
Practice address
395 ROUTE 70 STE 202, LAKEWOOD, NJ 08701-6161
(732) 719-1256
(732) 544-0364
Mailing address
155 WASHINGTON ST APT 410, JERSEY CITY, NJ 07302-4576
(551) 260-3654
(551) 260-3654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IOE0919203886
NJ
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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