| Indigo Therapy Llc | |
|
30 Fireside Ct S Matawan NJ 07747-9709 | |
| (423) 946-9084 | |
| Not Available |
| Full Name | Indigo Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 Fireside Ct S, Matawan, New Jersey |
| Authorized Official Name and Position | Candra Savage (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4239469084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Therapy Llc 30 Fireside Ct S Matawan NJ 07747-9709 Ph: (423) 946-9084 | Indigo Therapy Llc 30 Fireside Ct S Matawan NJ 07747-9709 Ph: (423) 946-9084 |
| NPI Number | 1518629252 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Certification Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518629252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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