Five Star Therapeutic Services Llc | |
58 Diane Dr Tinton Falls NJ 07753-7953 | |
(848) 231-8429 | |
Not Available |
Full Name | Five Star Therapeutic Services Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 58 Diane Dr, Tinton Falls, New Jersey |
Authorized Official Name and Position | Marisol Samol (OWNER) |
Authorized Official Contact | 8482318429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Five Star Therapeutic Services Llc Po Box 495 Eatontown NJ 07724-0495 Ph: (848) 231-8429 | Five Star Therapeutic Services Llc 58 Diane Dr Tinton Falls NJ 07753-7953 Ph: (848) 231-8429 |
NPI Number | 1053037879 |
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Provider Enumeration Date | 10/13/2022 |
Last Update Date | 10/13/2022 |
Certification Date | 10/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053037879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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