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Organization
SHORELINE PSYCHOTHERAPY
Active
Organization
SHORELINE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CAVAN LCSW (SOLE MEMBER)
(631) 241-8054
Entity
Organization
Contact information
Practice address
35 ATLANTIC AVE, MANASQUAN, NJ 08736-2901
(631) 241-8054
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
05/15/2023
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