| Kathleen M Dean Lcsw | |
|
651 Route 73 N Ste 407 Marlton NJ 08053 | |
| (856) 985-3404 | |
| Not Available |
| Full Name | Kathleen M Dean Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 651 Route 73 N Ste 407, Marlton, New Jersey |
| Authorized Official Name and Position | Kathleen M Dean (OWNER) |
| Authorized Official Contact | 2154071580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Dean Lcsw 27 Emory Ln Mount Laurel NJ 08054-3066 Ph: (215) 407-1580 | Kathleen M Dean Lcsw 651 Route 73 N Ste 407 Marlton NJ 08053 Ph: (856) 985-3404 |
| NPI Number | 1407333131 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 0648522045 |
|---|---|
| Medicare Enrollment ID | O20181012002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407333131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05213700 (New Jersey) | Primary |
| Provider Name | Kathleen M Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083751291 PECOS PAC ID: 4789620113 Enrollment ID: I20050711000643 |
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