Provider Information for 1003073701
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LAURA LEE JONES LCSW
Sex: Female
NPI: 1003073701
Last Updated: 2008-05-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1003073701 | ||||||||
| Enumeration Date | 2008-05-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 28 GASKILL DR LITTLE EGG HARBOR, NJ 08087-2086 United States Phone: 732-768-3659 | Fax: | ||||||||
| Primary Practice Address | 125 E MAIN ST TUCKERTON, NJ 08087-2669 United States Phone: 732-768-3659 | Fax: | ||||||||
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