Provider Information for 1124675897
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LAURA PASCAL LPC
Sex: Female
NPI: 1124675897
Last Updated: 2023-11-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124675897 | ||||||||||||||
| Enumeration Date | 2019-08-19 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 30 GRENLOCH, NJ 08032-0030 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 901 ROUTE 168 STE 103 TURNERSVILLE, NJ 08012-3200 United States Phone: 856-266-4983 | Fax: | ||||||||||||||
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