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Organization
KALEIDOSCOPE DISABILITIES INC
Active
Organization
KALEIDOSCOPE DISABILITIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUINCEY S HOLLOWAY LSW (EXECUTIVE DIRECTOR)
(201) 259-4592
Entity
Organization
Contact information
Practice address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(201) 259-4592
(973) 338-4440
Mailing address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(201) 259-4592
(973) 338-4440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC0136340
NJ
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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