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Organization
SUPPORTIVE COUNSELING SERVICES
Active
Organization
SUPPORTIVE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORLYNN HULLFISH (OWNER/THERAPIST)
(609) 410-8607
Entity
Organization
Contact information
Practice address
53 S MAIN ST, SUITE 3F, MEDFORD, NJ 08055-2442
(609) 410-8607
(609) 257-0680
Mailing address
53 S MAIN ST, SUITE 3F, MEDFORD, NJ 08055-2442
(609) 410-8607
(609) 257-0680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05249600
NJ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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