Organization
INDEPENDENCE FAMILY THERAPY ENTERPRISES
Active
Other names
INDEPENDENCE FAMILY THERAPY ENTERPRISES
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RANDIEK LCSW (CEO)
(856) 427-1214
Entity
Organization
Contact information
Practice address
1 EVES DR STE 111, MARLTON, NJ 08053-3125
(856) 883-0061
Mailing address
1 EVES DR STE 111, MARLTON, NJ 08053-3125
(856) 883-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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