Individual
MS. LARA F WELLERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
707 ALEXANDER RD, SUITE 102, PRINCETON, NJ 08540-6331
(609) 987-8100
(609) 987-0574
Mailing address
707 ALEXANDER RD, SUITE 102, PRINCETON, NJ 08540-6331
(609) 987-8100
(609) 987-0574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05869000
NJ
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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