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304 Twin Oaks Dr Lakewood NJ 08701-7155 | |
| (732) 626-0484 | |
| (732) 626-0484 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 304 Twin Oaks Dr, Lakewood, New Jersey |
| Authorized Official Name and Position | Bracha Daum (DIRECTOR) |
| Authorized Official Contact | 7326260484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
304 Twin Oaks Dr Lakewood NJ 08701-7155 Ph: (732) 626-0484 | 304 Twin Oaks Dr Lakewood NJ 08701-7155 Ph: (732) 626-0484 |
| NPI Number | 1609283894 |
|---|---|
| Provider Enumeration Date | 07/20/2014 |
| Last Update Date | 07/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609283894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05348000 (New Jersey) | Primary |
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