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Organization
TWIN RIVERS PSYCHOTHERAPY ASSOCIATES
Active
Organization
TWIN RIVERS PSYCHOTHERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON O'DONNELL LCSW (OWNER)
(732) 788-7835
Entity
Organization
Contact information
Practice address
39 AVENUE AT THE CMN, SUITE 106, SHREWSBURY, NJ 07702-4807
(732) 788-7835
(732) 865-7190
Mailing address
43 MONROE AVE, SHREWSBURY, NJ 07702-4017
(732) 788-7835
(732) 865-7190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05541800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033557137
NPI
—
Enumeration date
03/24/2015
Last updated
03/27/2015
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