Individual
CRISTINA AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 E MAIN ST, MARLTON, NJ 08053-2172
(856) 985-9091
Mailing address
173 ECHELON RD APT 2, VOORHEES, NJ 08043-1833
(856) 285-9520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05696000
NJ
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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