Organization
HEATHER WILDER DODDS LCSW,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER DODDS LCSW (COUNSELOR)
(908) 447-9226
Entity
Organization
Contact information
Practice address
628 SHREWSBURY AVE STE H, TINTON FALLS, NJ 07701-4912
(908) 447-9226
Mailing address
14 HANCOCK LANE, MIDDLETOWN, NJ 07748
(908) 447-9226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05283400
NJ
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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