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Organization
TRAUMA-INFORMED PSYCHOTHERAPY, LLC
Active
Organization
TRAUMA-INFORMED PSYCHOTHERAPY, LLC
Active
Other names
Trauma-Informed Psychotherapy, LLC, Trauma-Informed Psychotherapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WILLIAM RICHARDSON LCSW (OWNER)
(201) 377-8710
Entity
Organization
Contact information
Practice address
101 PARK ST # 3, MONTCLAIR, NJ 07042-2963
(973) 447-4460
Mailing address
45 BAYLISS ST # 2, NORTH ARLINGTON, NJ 07031-5548
(201) 377-8710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05682000
NJ
Other
Enumeration date
05/14/2018
Last updated
06/16/2018
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