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Organization
SOLUTION BASED SERVICES
Active
Organization
SOLUTION BASED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETERSON PIERRE-PAUL LCSW (LLC MEMBER)
(973) 789-4466
Entity
Organization
Contact information
Practice address
839 VALLEY ST APT C, VAUXHALL, NJ 07088-1258
(973) 789-4466
Mailing address
839 VALLEY ST APT C, VAUXHALL, NJ 07088-1258
(973) 789-4466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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