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301 Madison Avenue Lakewood NJ 08701 | |
| (732) 363-8010 | |
| (732) 363-2097 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 301 Madison Avenue, Lakewood, New Jersey |
| Authorized Official Name and Position | Rita Sason (DIRECTOR SOCIAL SERVICES) |
| Authorized Official Contact | 7323638010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
301 Madison Avenue Lakewood NJ 08701 Ph: (732) 363-8010 | 301 Madison Avenue Lakewood NJ 08701 Ph: (732) 363-8010 |
| NPI Number | 1992871529 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992871529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 101250104 (New Jersey) | Primary |
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