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Organization
INSTITUTE FOR PSYCHOLOGICAL AND SPIRITUAL GROWTH INC
Active
Organization
INSTITUTE FOR PSYCHOLOGICAL AND SPIRITUAL GROWTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE BARBARA DE BONIS LCSW PH.D (PRESIDENT/OWNER)
(732) 739-4098
Entity
Organization
Contact information
Practice address
1 BETHANY RD, SUITE34, HAZLET, NJ 07730-1663
(732) 739-4098
Mailing address
1 BETHANY RD, SUITE34, HAZLET, NJ 07730-1663
(732) 739-4098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC00022200
NJ
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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