Organization
A.C. ANGELWINGS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIDONIA NITSA MAVROMATIS MSW, LCSW (OWNER)
(609) 513-1140
Entity
Organization
Contact information
Practice address
209 ONTARIO AVE, EGG HARBOR TWP, NJ 08234-4942
(609) 513-1140
Mailing address
209 ONTARIO AVE, EGG HARBOR TWP, NJ 08234-4942
(609) 513-1140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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