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Organization
REVIVE & THRIVE THERAPY LLC
Active
Organization
REVIVE & THRIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE VIEIRA ANJOS LCSW (MEMBER)
(908) 315-5947
Entity
Organization
Contact information
Practice address
173 E GRANT AVE, ROSELLE PARK, NJ 07204-2026
(908) 315-5947
(908) 344-5537
Mailing address
173 E GRANT AVE, ROSELLE PARK, NJ 07204-2026
(908) 315-5947
(908) 344-5537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05485900
NJ
Other
Enumeration date
06/09/2015
Last updated
06/16/2015
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