Individual
LARA PARDIS FARROKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 S WHITE HORSE PIKE, AUDUBON, NJ 08106-1326
(856) 617-4544
Mailing address
924 MERCER DR, HADDONFIELD, NJ 08033-3970
(215) 301-7443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05979600
NJ
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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