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Organization
SOUTH JERSEY THERAPY COLLECTIVE LLC
Active
Organization
SOUTH JERSEY THERAPY COLLECTIVE LLC
Active
Other names
Moorestown Therapy Collective
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M FLORESTA LCSW (OWNER/PSYCHOTHERAPIST)
(609) 225-9641
Entity
Organization
Contact information
Practice address
101 E MAIN ST STE 203, MOORESTOWN, NJ 08057-2920
(609) 225-9641
(609) 225-9641
Mailing address
1107 MANTUA PIKE, STE 701, PMB 172, MANTUA, NJ 08051
(609) 225-9641
(609) 225-9641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
10/10/2023
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