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Organization
TRI-COUNTY BEHAVIORAL CARE, LLC
Active
Organization
TRI-COUNTY BEHAVIORAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY CLARE CANZONE LCSW (OWNER / CLINICAL DIRECTOR)
(973) 691-3030
Entity
Organization
Contact information
Practice address
21 US HIGHWAY 206, #2, STANHOPE, NJ 07874-3275
(973) 691-3030
Mailing address
21 US HIGHWAY 206, #2, STANHOPE, NJ 07874-3275
(973) 691-3030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05283700
NJ
Other
Enumeration date
04/09/2015
Last updated
06/24/2016
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