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Organization
NEW JERSEY MENTAL HEALTH AND NUTRITIONAL GROUP LLC
Active
Organization
NEW JERSEY MENTAL HEALTH AND NUTRITIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGALINE CROIX (OWNER/LCSW)
(732) 344-0604
Entity
Organization
Contact information
Practice address
3 MARIGOLD DR APT B, MAPLE SHADE, NJ 08052-8470
(732) 344-0604
Mailing address
3 MARIGOLD DR APT B, MAPLE SHADE, NJ 08052-8470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
133N00000X
Nutritionist
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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