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Organization
FRESH START FAMILY THERAPY SERVICES
Active
Organization
FRESH START FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET JUANIQUE LARK LMFT (OWNER)
(856) 220-7035
Entity
Organization
Contact information
Practice address
600 SOMERDALE RD STE 101, VOORHEES, NJ 08043-1858
(856) 220-7035
(856) 595-9377
Mailing address
38 WALNUT AVE, LINDENWOLD, NJ 08021-1635
(856) 220-7035
(856) 595-9377
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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