Organization
FOCUSED VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHENELLE T LAUTURE LCSW (OWNER/ CEO)
(973) 619-9190
Entity
Organization
Contact information
Practice address
460 BLOOMFIELD AVE FL 4, MONTCLAIR, NJ 07042-3582
(973) 619-8796
Mailing address
377 VALLEY RD # 1240, CLIFTON, NJ 07013-1319
(973) 619-8796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
01/28/2021
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