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Organization
THERACORP, LLC
Active
Organization
THERACORP, LLC
Active
Other names
TheraCorp Therapeutic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA KRUTYANSKY MSW, LSW (PRESIDENT/CHIEF OPERATING OFFICER)
(973) 207-6834
Entity
Organization
Contact information
Practice address
86 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(973) 207-6834
Mailing address
5 ROXY CT, FARMINGDALE, NJ 07727-4203
(973) 207-6834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NJ
Other
Enumeration date
02/03/2018
Last updated
03/17/2018
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