Most Relevant Information
Provider Data
| NPI Number: | 1003354200 |
| Provider Name: | ALYSSA ALLOTTA LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 44SL06084600 |
Most Important Dates
| Enumeration Date: | 02/08/2017 |
| Last Updated: | 02/08/2017 |
Provider Practice Location
140 GUNWALE RD
MANAHAWKIN
NJ
080505006
Practice Location Phone/Fax
| Phone: | 6098919422 |
| Fax: |
Provider Mailing Location
140 GUNWALE RD
MANAHAWKIN
NJ
080505006
Provider Mailing Phone/Fax
| Phone: | 6098919422 |
| Fax: |