Individual
KIARRA BALDASSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1 EDGEVIEW DR STE 2B, HACKETTSTOWN, NJ 07840-4003
(908) 246-1480
Mailing address
1 EDGEVIEW DR STE 2B, HACKETTSTOWN, NJ 07840-4003
(908) 246-1480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00487600
NJ
Other
Enumeration date
11/16/2019
Last updated
11/27/2023
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