Individual
GISEL CORADO-LEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 533-6803
Mailing address
118 S LOGAN AVE, TRENTON, NJ 08609-1608
(609) 533-6803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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