Souradjou, Amyrath-Laye A

Souradjou, Amyrath-Laye A is an individual health care provider with primary practice located at 108 Lucas Ln , Voorhees NJ 08043-2549. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Souradjou, Amyrath-Laye A can be contacted via phone (856) 772-0060.

Contact Information

Primary practice address
108 Lucas Ln Voorhees NJ 08043-2549
Phone: (856) 772-0060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1457742256
LBN Legal business name Souradjou, Amyrath-Laye A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2015
Last updated Feb 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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