Individual
MS. ARIANNA ELIZABETH ILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Mailing address
1808 MURIEL CT, PRINCETON, NJ 08540-9569
(732) 425-1967
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06016400
NJ
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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