Individual
DELORAS LILLIE PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SOUTH CHURCH ST SUITE 20, MOUNT LAUREL, NJ 08054-3804
(856) 448-3279
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 867-5928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06338600
NJ
Other
Enumeration date
07/28/2014
Last updated
11/20/2024
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