Safeway Independent Services, Llc | |
130 Village Green Ln Sicklerville NJ 08081-1641 | |
(718) 962-4247 | |
Not Available |
Full Name | Safeway Independent Services, Llc |
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Speciality | Counselor - Mental Health |
Location | 130 Village Green Ln, Sicklerville, New Jersey |
Authorized Official Name and Position | Russell Shereif Springer (PRESIDENT) |
Authorized Official Contact | 7189624247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Safeway Independent Services, Llc 130 Village Green Ln Sicklerville NJ 08081-1641 Ph: () - | Safeway Independent Services, Llc 130 Village Green Ln Sicklerville NJ 08081-1641 Ph: (718) 962-4247 |
NPI Number | 1659831782 |
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Provider Enumeration Date | 03/24/2019 |
Last Update Date | 03/24/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659831782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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