Organization
INNER LIGHT THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE LYN FREIRICH LCSW (OWNER/CLINICAL SOCIAL WORKER)
(201) 298-1402
Entity
Organization
Contact information
Practice address
637 WYCKOFF AVE STE 172, WYCKOFF, NJ 07481-1438
(201) 298-1402
Mailing address
637 WYCKOFF AVE STE 172, WYCKOFF, NJ 07481-1438
(201) 298-1402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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