| Dale M Mortenson Lcsw Llc | |
|
376 West End Avenue Suite 48 Long Branch NJ 07740 | |
| (732) 229-6262 | |
| (732) 229-1396 |
| Full Name | Dale M Mortenson Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 376 West End Avenue, Long Branch, New Jersey |
| Authorized Official Name and Position | Dale M Mortenson (PSYCHOTHERAPIST LICENSED CLINICAL S) |
| Authorized Official Contact | 7322296262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale M Mortenson Lcsw Llc 376 West End Avenue Suite 48 Long Branch NJ 07740 Ph: (732) 229-6262 | Dale M Mortenson Lcsw Llc 376 West End Avenue Suite 48 Long Branch NJ 07740 Ph: (732) 229-6262 |
| NPI Number | 1336335728 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00022000 (New Jersey) | Primary |
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