Organization
DEBORAH KERN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BETH KERN MSW, LCSW (PSYCHOTHERAPIST)
(954) 881-0830
Entity
Organization
Contact information
Practice address
121 CEDAR LN STE 3A, TEANECK, NJ 07666
(954) 881-0830
Mailing address
4 HORIZON RD, APT. 1412, FORT LEE, NJ 07024-6743
(201) 366-4075
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
44SC05353600
NJ
305R00000X
Preferred Provider Organization
Primary
44SC05353600
NJ
Other
Enumeration date
09/24/2011
Last updated
08/24/2020
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