Individual
JILL M LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 9TH ST, JERSEY CITY, NJ 07302-1624
(732) 246-8439
Mailing address
100 CLIFF AVE APT 20, BRADLEY BEACH, NJ 07720-1551
(732) 713-2527
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00185700
NJ
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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