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Organization
PSYCHOLOGICAL CONSULTING AND THERAPY INC
Active
Organization
PSYCHOLOGICAL CONSULTING AND THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERY E FRADKOV LCSW (PRESIDENT)
(201) 497-0289
Entity
Organization
Contact information
Practice address
71 FRANKLIN TPKE, SUITE 1-2, WALDWICK, NJ 07463-1851
(201) 497-0289
(866) 850-6432
Mailing address
71 FRANKLIN TPKE, SUITE 1-2, WALDWICK, NJ 07463-1851
(201) 497-0289
(866) 850-6432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05391100
NJ
Other
Enumeration date
07/20/2016
Last updated
09/19/2016
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