| Divad Zzen Therapy Boutique | |
|
321 Yale Ave Ste B Stratford NJ 08084-1247 | |
| (856) 807-5363 | |
| Not Available |
| Full Name | Divad Zzen Therapy Boutique |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 321 Yale Ave Ste B, Stratford, New Jersey |
| Authorized Official Name and Position | Tiffany Gilmore (CEO) |
| Authorized Official Contact | 8568075363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divad Zzen Therapy Boutique 321 John F Kennedy Blvd Lawnside NJ 08045-1037 Ph: (856) 807-5316 | Divad Zzen Therapy Boutique 321 Yale Ave Ste B Stratford NJ 08084-1247 Ph: (856) 807-5363 |
| NPI Number | 1003543687 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003543687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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