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Organization
TALK ABOUT IT
Active
Organization
TALK ABOUT IT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MC LANEY KENNETH MOISE (EXECUTIVE DIRECTOR)
(347) 554-3327
Entity
Organization
Contact information
Practice address
597 HARBORTOWN BLVD BLDG 43, PERTH AMBOY, NJ 08861-3087
(347) 554-3327
Mailing address
597 HARBORTOWN BLVD BLDG 43, PERTH AMBOY, NJ 08861-3087
(347) 554-3327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05776400
NJ
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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