Individual
LAUREL MALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
122 W SYLVANIA AVE, NEPTUNE CITY, NJ 07753-6368
(732) 455-2084
Mailing address
122 W SYLVANIA AVE, NEPTUNE CITY, NJ 07753-6368
(732) 455-2084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00486400
NJ
Other
Enumeration date
05/08/2014
Last updated
02/07/2017
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