Individual
LAURA ELIZABETH FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
300 CAMPUS DR STE C, MOUNT HOLLY, NJ 08060-9604
(609) 283-2179
Mailing address
25 BLUEBERRY RUN, SOUTHAMPTON, NJ 08088-1253
(406) 799-0368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00526700
NJ
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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