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Individual

DENISE R POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
130 W. WHITEHORSE PK, IB HEART 2 HEART, BERLIN, NJ 08009
(856) 352-5424
(856) 335-4829
Mailing address
P.O. BOX 187, CLEMENTON, NJ 08021
(856) 287-5240
(856) 335-4829

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
LAC37AC00272100
NJ
106H00000X
Marriage & Family Therapist
Primary
PC011697
PA

Other

Enumeration date
07/16/2015
Last updated
01/21/2021
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