Individual
JENNIFER LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 JARVIS RD, ERIAL, NJ 08081-2169
(856) 232-9703
(856) 232-5267
Mailing address
7439 WALNUT AVE, PENNSAUKEN, NJ 08109-3076
(609) 280-7184
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00475500
NJ
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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