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Organization
SHORE THERAPY
Active
Organization
SHORE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KUZMINSKI (OFFICE MANAGER)
(856) 857-9500
Entity
Organization
Contact information
Practice address
310 CHRIS GAUPP DR STE 105, GALLOWAY, NJ 08205-4461
(609) 652-4040
Mailing address
310 CHRIS GAUPP DR STE 105, GALLOWAY, NJ 08205-4461
(609) 652-4040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25MA04236100
NJ
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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