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Individual

ASHLEY ELIZABETH MOROLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
159 LOCUST DR, MAYWOOD, NJ 07607-2155
(973) 868-2513
Mailing address
159 LOCUST DR, MAYWOOD, NJ 07607-2155

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00516100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31-4011
MEDICARE
Enumeration date
03/21/2012
Last updated
01/31/2018
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