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Organization
KITCHEN TABLE COUNSELING, LLC
Active
Organization
KITCHEN TABLE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CUZZOLA LCSW (CLINICAL SOCIAL WORKER)
(732) 259-5970
Entity
Organization
Contact information
Practice address
115 CLAREMONT AVE, COLONIA, NJ 07067-2919
(732) 259-5970
Mailing address
115 CLAREMONT AVE, COLONIA, NJ 07067-2919
(732) 259-5970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04740700
NJ
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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