Individual
LEAH GUTWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 WOODLAND DR, LAKEWOOD, NJ 08701-3038
(732) 901-0018
Mailing address
316 PARK AVE, LAKEWOOD, NJ 08701-3479
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22017
NJ
Other
Enumeration date
03/31/2016
Last updated
12/30/2019
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