| By Original Design, Llc | |
|
104 Smortz Ln Glassboro NJ 08028-3290 | |
| (856) 812-4116 | |
| Not Available |
| Full Name | By Original Design, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 Smortz Ln, Glassboro, New Jersey |
| Authorized Official Name and Position | Joanne Turner (OWNER/THERAPIST) |
| Authorized Official Contact | 8568124116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| By Original Design, Llc 104 Smortz Ln Glassboro NJ 08028-3290 Ph: (856) 812-4116 | By Original Design, Llc 104 Smortz Ln Glassboro NJ 08028-3290 Ph: (856) 812-4116 |
| NPI Number | 1376315275 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376315275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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