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Organization

GROWTH COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARIN MARTUCCI (LCSW)
(973) 688-8858
Entity
Organization

Contact information

Practice address
10 W SOUTH ORANGE AVE, SOUTH ORANGE, NJ 07079-1728
(973) 688-8858
(973) 368-8859
Mailing address
10 W SOUTH ORANGE AVE FL 2, SOUTH ORANGE, NJ 07079-1728
(973) 688-8858

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05264700
NJ

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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