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Organization

VITAL PAUSE LLC

Active
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Organization

VITAL PAUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONY MARIE RODRIGUEZ LCSW (PSYCHOTHERAPIST/OWNER)
(609) 380-3007
Entity
Organization

Contact information

Practice address
2600 TILTON RD UNIT 5277, EGG HARBOR TOWNSHIP, NJ 08234-1831
(609) 380-3007
Mailing address
2600 TILTON RD UNIT 5277, EGG HARBOR TOWNSHIP, NJ 08234-1831
(609) 380-3007

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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