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Organization

HOLLYCHASE, LLC

Active
Other names
Matthew Lawrence-Evans LCSW, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW D. LAWRENCE-EVANS MSW, LCSW (OWNER / THERAPIST)
(856) 942-4414
Entity
Organization

Contact information

Practice address
190 N EVERGREEN AVE STE 202, WOODBURY, NJ 08096-1862
(856) 942-4414
Mailing address
PO BOX 123, BELLMAWR, NJ 08099-0123
(856) 942-4414

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/15/2018
Last updated
02/23/2018
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