Enlighten Well Llc | |
140 S Broadway Ste 7 Pitman NJ 08071-2235 | |
(215) 409-8043 | |
Not Available |
Full Name | Enlighten Well Llc |
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Speciality | Social Worker - Clinical |
Location | 140 S Broadway Ste 7, Pitman, New Jersey |
Authorized Official Name and Position | Jessica Brock-pitts (MANAGER) |
Authorized Official Contact | 2154098043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enlighten Well Llc 140 S Broadway Ste 7 Pitman NJ 08071-2235 Ph: (215) 409-8043 | Enlighten Well Llc 140 S Broadway Ste 7 Pitman NJ 08071-2235 Ph: (215) 409-8043 |
NPI Number | 1538602438 |
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Provider Enumeration Date | 11/23/2016 |
Last Update Date | 11/23/2016 |
Identifier | Type | State | Issuer |
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1538602438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05590700 (New Jersey) | Primary |
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