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Organization
MILIEU SERVICES
Active
Organization
MILIEU SERVICES
Active
Other names
MR.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN NUSSBAUM (OWNER)
(732) 930-1255
Entity
Organization
Contact information
Practice address
701 CROSS ST, LAKEWOOD, NJ 08701-4029
(732) 930-1255
Mailing address
701 CROSS ST, LAKEWOOD, NJ 08701-4029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
04/10/2019
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