Individual
SANDRA LYNN LAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1330 HAMBURG TPKE STE 7, WAYNE, NJ 07470-4057
(973) 633-1554
Mailing address
23 PINE TREE DR, WAYNE, NJ 07470-5475
(973) 930-8112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00752400
NJ
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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