Organization
DALE M MORTENSON LCSW LLC
Active
Organization
DALE M MORTENSON LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE M MORTENSON LCSW LCADC (PSYCHOTHERAPIST LICENSED CLINICAL S)
(732) 229-6262
Entity
Organization
Contact information
Practice address
376 WEST END AVENUE, SUITE 48, LONG BRANCH, NJ 07740
(732) 229-6262
(732) 229-1396
Mailing address
376 WEST END AVENUE, SUITE 48, LONG BRANCH, NJ 07740
(732) 229-6262
(732) 229-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00022000
NJ
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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