Organization
THERAPEUTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANETTE KEETON (PRESIDENT)
(609) 556-7783
Entity
Organization
Contact information
Practice address
614 S WHITE HORSE PIKE, SOMERDALE, NJ 08083-1246
(856) 344-7982
Mailing address
614 S WHITE HORSE PIKE, SOMERDALE, NJ 08083-1246
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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