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Organization
TAKE 2 COUNSELING & COACHING, LLC.
Active
Organization
TAKE 2 COUNSELING & COACHING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELYSA DESERIO LCSW (CLINICAL SOCIAL WORKER)
(732) 754-2846
Entity
Organization
Contact information
Practice address
3010 BORDENTOWN AVE STE B2, PARLIN, NJ 08859-1181
(732) 365-3933
Mailing address
42 LORTON COURT, OLD BRIDGE, NJ 08857
(732) 754-2846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05777200
NJ
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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