Individual
LARA BRIELLE ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(201) 389-5326
Mailing address
311 E RIDGEWOOD AVE APT 1A, RIDGEWOOD, NJ 07450-3333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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