Organization
HOLISTIC THERAPY BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI S PETRY LCSW (OWNER)
(973) 963-1038
Entity
Organization
Contact information
Practice address
30 MORAN ST, NEWTON, NJ 07860-1832
(973) 963-1038
Mailing address
PO BOX 345, NEWTON, NJ 07860-0345
(973) 963-1038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00031600
NJ
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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