| Matthew Lawrence-evans Lcsw, Llc | |
|
190 N Evergreen Ave Ste 202 Woodbury NJ 08096-1862 | |
| (856) 942-4414 | |
| Not Available |
| Full Name | Matthew Lawrence-evans Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 190 N Evergreen Ave Ste 202, Woodbury, New Jersey |
| Authorized Official Name and Position | Matthew D. Lawrence-evans (OWNER / THERAPIST) |
| Authorized Official Contact | 8569424414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Lawrence-evans Lcsw, Llc Po Box 123 Bellmawr NJ 08099-0123 Ph: (856) 942-4414 | Matthew Lawrence-evans Lcsw, Llc 190 N Evergreen Ave Ste 202 Woodbury NJ 08096-1862 Ph: (856) 942-4414 |
| NPI Number | 1285142000 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285142000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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