Individual
LISA LA MAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 TENNENT RD STE 104, MANALAPAN, NJ 07726-3163
(732) 851-4808
Mailing address
14 PILL HILL RD, BERNARDSVILLE, NJ 07924-2802
(908) 370-1883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00314500
NJ
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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