Individual
KIMBERLY LADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-5550
Mailing address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00183300
NJ
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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