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Organization
WELLSPRINGS COUNSELING CENTER, LLC
Active
Organization
WELLSPRINGS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PRO-MENNER MCSW (PRESIDENT)
(201) 956-6363
Entity
Organization
Contact information
Practice address
22-08 STATE RT 208, SUITE 16, FAIR LAWN, NJ 07410-2609
(201) 956-6363
(201) 956-6026
Mailing address
22-08 STATE RT 208, SUITE 16, FAIR LAWN, NJ 07410-2609
(201) 956-6363
(201) 956-6026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05191700
NJ
Other
Enumeration date
05/23/2007
Last updated
05/06/2013
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