| Dr Lugenia Small Nj Llc | |
|
4 Eakin St Salem NJ 08079-1704 | |
| (609) 665-1102 | |
| Not Available |
| Full Name | Dr Lugenia Small Nj Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4 Eakin St, Salem, New Jersey |
| Authorized Official Name and Position | Lugenia Small (OWNER) |
| Authorized Official Contact | 6096651102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lugenia Small Nj Llc 2394 Pendleton Ct Avon OH 44011-2647 Ph: (609) 665-1102 | Dr Lugenia Small Nj Llc 4 Eakin St Salem NJ 08079-1704 Ph: (609) 665-1102 |
| NPI Number | 1679165575 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679165575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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