Individual
LAUREN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
Mailing address
906 WALL RD, SPRING LAKE, NJ 07762-2307
(732) 278-9775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44LS05717800
NJ
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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