Individual
BERNADETTE FRANCES MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
44SL06333800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000446
—
NJ
Enumeration date
05/18/2018
Last updated
07/10/2024
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