| Four Immeasurables Life Practice, Llc | |
|
7 Elm St Fl 2 Westfield NJ 07090-2147 | |
| (908) 202-6303 | |
| Not Available |
| Full Name | Four Immeasurables Life Practice, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7 Elm St Fl 2, Westfield, New Jersey |
| Authorized Official Name and Position | Misty A Shores (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9082026303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Immeasurables Life Practice, Llc 7 Elm Street, 2nd Floor, Front Westfield NJ 07090-2147 Ph: (908) 202-6303 | Four Immeasurables Life Practice, Llc 7 Elm St Fl 2 Westfield NJ 07090-2147 Ph: (908) 202-6303 |
| NPI Number | 1891241667 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891241667 | NPI | - | NPPES |
| 1578958245 | Other | NJ | PROVIDER NPI NUMBER FOR OWNER OF BUSINESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05609600 (New Jersey) | Primary |
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