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Organization
LOTUS BLOSSOM PSYCHOTHERAPY, LLC.
Active
Organization
LOTUS BLOSSOM PSYCHOTHERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE M VIGGIANI LCSW (OWNER/PARTNER)
(732) 616-6162
Entity
Organization
Contact information
Practice address
5 PONDEROSA DR, COLTS NECK, NJ 07722-2219
(732) 616-6162
Mailing address
27 STATE ROUTE 35, EATONTOWN, NJ 07724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05655100
NJ
1041C0700X
Clinical Social Worker
44SC05666300
NJ
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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