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Organization

GUIDED STRENGTH PSYCHIATRY

Active
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Organization

GUIDED STRENGTH PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA JACKWICZ APN (PSYCHIATRIC NURSE PRACTITIONER)
(973) 978-7220
Entity
Organization

Contact information

Practice address
1913 ATLANTIC AVE STE 160, MANASQUAN, NJ 08736-1064
(732) 487-1808
Mailing address
1913 ATLANTIC AVE STE 160, MANASQUAN, NJ 08736-1064

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
04/07/2023
Last updated
08/30/2023
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