| Living In The Second Half L. L. C | |
|
33 Plymouth St Ste 301 Montclair NJ 07042-2677 | |
| (646) 859-0125 | |
| Not Available |
| Full Name | Living In The Second Half L. L. C |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 33 Plymouth St Ste 301, Montclair, New Jersey |
| Authorized Official Name and Position | Vanessa Angela Watson (OWNER) |
| Authorized Official Contact | 6468590125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living In The Second Half L. L. C 33 Plymouth St Ste 301 Montclair NJ 07042-2677 Ph: (646) 859-0125 | Living In The Second Half L. L. C 33 Plymouth St Ste 301 Montclair NJ 07042-2677 Ph: (646) 859-0125 |
| NPI Number | 1790257111 |
|---|---|
| Provider Enumeration Date | 12/24/2018 |
| Last Update Date | 12/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790257111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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