Lightened Heart Therapy, Llc | |
485c Us Highway 1 S Ste 100-10 Iselin NJ 08830-3037 | |
(732) 956-1611 | |
Not Available |
Full Name | Lightened Heart Therapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 485c Us Highway 1 S Ste 100-10, Iselin, New Jersey |
Authorized Official Name and Position | Janet Lichauco (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7329561611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lightened Heart Therapy, Llc 485c Us Highway 1 S Ste 100-10 Iselin NJ 08830-3037 Ph: (732) 956-1611 | Lightened Heart Therapy, Llc 485c Us Highway 1 S Ste 100-10 Iselin NJ 08830-3037 Ph: (732) 956-1611 |
NPI Number | 1336750447 |
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Provider Enumeration Date | 08/12/2020 |
Last Update Date | 08/12/2020 |
Certification Date | 08/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336750447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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