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Organization
OPEN ARMS THERAPEUTIC SERVICES LLC
Active
Organization
OPEN ARMS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY VEGA SR. L.C.S.W, MSW (PSYCHOTHERAPIST)
(732) 600-9356
Entity
Organization
Contact information
Practice address
445 BRICK BLVD STE 204, BRICK, NJ 08723-6079
(732) 600-9356
Mailing address
445 BRICK BLVD STE 204, BRICK, NJ 08723-6079
(732) 600-9356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05738100
SOCIAL WORK EXAMINERS,LIC. CLINICAL SOCIAL WORKER
NJ
01
—
942968
STATE OF NEW JERSEY STATE BOARD OF EXAMINERS
NJ
Enumeration date
06/06/2019
Last updated
06/06/2019
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