MISS Jill Stephanie Lasala

NPI #1093267619 in Westampton, New Jersey

Provider Information

NPI Number
1093267619
Entity Type
Individual
Name
MISS Jill Stephanie Lasala
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Oct 31, 2016
Last Updated
Oct 31, 2016

Practice Location

Address
770 WOODLANE RD # R9OAD
ZIP Code
08060-3804
Phone
(609) 267-5928

Specialties & Taxonomy Codes

Specialty
Counselor

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