Organization
FIVE STAR THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISOL SAMOL LCSW (OWNER)
(848) 231-8429
Entity
Organization
Contact information
Practice address
58 DIANE DR, TINTON FALLS, NJ 07753-7953
(848) 231-8429
Mailing address
PO BOX 495, EATONTOWN, NJ 07724-0495
(848) 231-8429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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