ALEXANDRIA ELISSA SMALL

FLORHAM PARK, NJ
NPI1962033357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00912600)
Enumeration Date2020-02-04
Last Update Date2025-10-17
Business Address
ALEXANDRIA ELISSA SMALL LAC
171 RIDGEDALE AVE STE J
FLORHAM PARK, NJ 07932-1764
Phone number: 973-515-1216
Mailing Address
ALEXANDRIA ELISSA SMALL LAC
171 RIDGEDALE AVE STE J
FLORHAM PARK, NJ 07932-1764
Phone number: 973-515-1216