Kitchen Table Therapy, Llc | |
31 Newfield Street East Orange NJ 07017-5410 | |
(201) 725-1807 | |
Not Available |
Full Name | Kitchen Table Therapy, Llc |
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Speciality | Social Worker |
Location | 31 Newfield Street, East Orange, New Jersey |
Authorized Official Name and Position | Charlene W Mason-reese (HEALTHCARE PROVIDER) |
Authorized Official Contact | 2017251807 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kitchen Table Therapy, Llc 31 Newfield Street East Orange NJ 07017-5410 Ph: () - | Kitchen Table Therapy, Llc 31 Newfield Street East Orange NJ 07017-5410 Ph: (201) 725-1807 |
NPI Number | 1275840332 |
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Provider Enumeration Date | 09/09/2010 |
Last Update Date | 09/09/2010 |
Identifier | Type | State | Issuer |
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1275840332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | 44SC00586800 (New Jersey) | Primary |
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