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Organization
WAVES OF LIFE PSYCHOTHERAPY LLC
Active
Organization
WAVES OF LIFE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN LAWRENCE LCSW (OWNER)
(732) 814-3081
Entity
Organization
Contact information
Practice address
1044 LACEY RD STE 7, FORKED RIVER, NJ 08731-1051
(732) 814-3081
Mailing address
1012 LAUREL BLVD, LANOKA HARBOR, NJ 08734-2721
(732) 814-3081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
09/16/2021
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