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Organization
MANDALA INTEGRATIVE THERAPY AND PROFESSIONAL DEVELOPMENT
Active
Organization
MANDALA INTEGRATIVE THERAPY AND PROFESSIONAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE CROCKER LCSW (OWNER)
(908) 460-8003
Entity
Organization
Contact information
Practice address
514 MILLBURN AVE # 2009, SHORT HILLS, NJ 07078-2508
(908) 460-8003
Mailing address
484 OUTLOOK AVE, COLONIA, NJ 07067-3508
(908) 460-8003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/21/2026
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