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Organization
PERSONAL GROWTH ASSOCIATES, LLC
Active
Organization
PERSONAL GROWTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. BRYAN SMITH LCSW (MEMBER)
(732) 533-8433
Entity
Organization
Contact information
Practice address
18 KINGS HWY, SUITE 202, MIDDLETOWN, NJ 07748-2509
(732) 533-8433
Mailing address
32 SPRUCE DR, MIDDLETOWN, NJ 07748-3429
(732) 533-8433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05619200
NJ
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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