Organization
HOLLY HESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HOLLY A HESTON LCSW (LICENSED CLINICAL SOCIAL WORK)
(732) 337-4038
Entity
Organization
Contact information
Practice address
530 PROSPECT AVE, LITTLE SILVER, NJ 07739-1444
(732) 337-4038
Mailing address
19 LEXINGTON CT, RED BANK, NJ 07701-5456
(732) 337-4038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05722300
NJ
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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