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11 Drexel Ct Sicklerville NJ 08081-2801 | |
| (856) 262-2606 | |
| (856) 404-9253 |
| Full Name | |
|---|---|
| Speciality | Adult Companion |
| Location | 11 Drexel Ct, Sicklerville, New Jersey |
| Authorized Official Name and Position | Patrick May (PRESIDENT) |
| Authorized Official Contact | 8562622605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11 Drexel Ct Sicklerville NJ 08081-2801 Ph: (856) 262-2605 | 11 Drexel Ct Sicklerville NJ 08081-2801 Ph: (856) 262-2606 |
| NPI Number | 1710218391 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710218391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 347B00000X | Bus | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Primary |
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