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Organization
MIND & BODY HEALING THERAPY CENTER, LLC
Active
Organization
MIND & BODY HEALING THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MORA LCSW (CLINICIAN)
(862) 200-3083
Entity
Organization
Contact information
Practice address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(973) 988-1496
Mailing address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(973) 988-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
02/21/2024
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