Organization
A BROADER VIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MAZUR LCSW (OWNER)
(732) 604-8107
Entity
Organization
Contact information
Practice address
1108 HOOPER AVE STE 2, TOMS RIVER, NJ 08753-8344
(732) 604-8107
Mailing address
1108 HOOPER AVE STE 2, TOMS RIVER, NJ 08753-8344
(732) 604-8107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05352000
NJ
Other
Enumeration date
01/17/2018
Last updated
04/10/2019
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