Laurie Licastro

NPI 1740671296 - Counselor - 101YM0800X

NPI Details
NPI 1740671296
Gender Female
Enumeration Date 02/05/2015
Last Updated 02/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
500 N BRIDGE ST
BRIDGEWATER NJ, 08807-2135, US
Phone (908) 725-2800
Fax (908) 704-1790
Business Location
500 N BRIDGE ST
BRIDGEWATER NJ, 08807-2135, US
Phone (908) 725-2800
Fax (908) 704-1790
Toxanomy
Taxonomy Code 101YM0800X
License State New Jersey
License Number 37AC00229300
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According to our database, Laurie Licastro NPI is 1740671296, taxonomy code is 101YM0800X and license number is 37AC00229300, license state is located at New Jersey. Laurie Licastro physically located at 500 N Bridge St, Bridgewater NJ, 08807-2135. NPI Number Laurie Licastro has the Individual type.

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1740671296 NPI number is provided on an as is basis without warranty of any kind. 1740671296 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Licastro are for informational purposes only.