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Organization
MINDSET PSYCHOTHERAPY CENTER
Active
Organization
MINDSET PSYCHOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA IVEY PRUSIOWSKI LCSW (DIRECTOR)
(201) 207-7268
Entity
Organization
Contact information
Practice address
2040 MILLBURN AVE. SUITE 205, MAPLEWOOD, NJ 07040
(201) 207-7268
Mailing address
2040 MILLBURN AVE. SUITE 205, MAPLEWOOD, NJ 07040
(201) 207-7268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05548300
NJ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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