Most Relevant Information
Provider Data
| NPI Number: | 1003691478 |
| Provider Name: | LASHIQUE R MCDUFFIE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2023 |
| Last Updated: | 08/25/2023 |
Provider Practice Location
770 WOODLANE RD
WESTAMPTON
NJ
080603804
Practice Location Phone/Fax
| Phone: | 6094017942 |
| Fax: |
Provider Mailing Location
770 WOODLANE RD
WESTAMPTON
NJ
080603804
Provider Mailing Phone/Fax
| Phone: | 6094017942 |
| Fax: |