Individual
LEYLA BAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
15000 MIDLANTIC DR STE 101, MOUNT LAUREL, NJ 08054-1573
(856) 380-2760
(856) 778-0636
Mailing address
13 RUTGERS DR, DELRAN, NJ 08075-1609
(609) 304-4585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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