NPI 1013436328
Laurie Mavorah, MAMFT
Practice location
- Address
- 360 Highland Ave, Long Branch, NJ 07740-4645
- Phone
- (732) 895-7833
- Fax
- (732) 895-7833
- Mailing address
- 360 Highland Ave, Long Branch, NJ 07740
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1013436328
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Sep 2017
- Record last updated
- 18 Sep 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.