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Organization
SAFEWAY INDEPENDENT SERVICES, LLC
Active
Organization
SAFEWAY INDEPENDENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SHEREIF SPRINGER (PRESIDENT)
(718) 962-4247
Entity
Organization
Contact information
Practice address
130 VILLAGE GREEN LN, SICKLERVILLE, NJ 08081-1641
(718) 962-4247
Mailing address
130 VILLAGE GREEN LN, SICKLERVILLE, NJ 08081-1641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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