Organization
FULL BLOOM THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY BETH CLARKE LCSW, LCADC (PART OWNER)
(732) 640-8593
Entity
Organization
Contact information
Practice address
2600 TILTON RD # 1014, EGG HARBOR TOWNSHIP, NJ 08234-1831
(732) 640-8593
Mailing address
2600 TILTON RD # 1014, EGG HARBOR TOWNSHIP, NJ 08234-1831
(732) 640-8593
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/24/2022
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