Individual
CHENELLE TAVIA LAUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 PARK AVE, EAST ORANGE, NJ 07017-4406
(973) 619-9190
Mailing address
222 PARK AVE, EAST ORANGE, NJ 07017-4406
(973) 619-9190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05949600
NJ
Other
Enumeration date
11/27/2020
Last updated
11/30/2020
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