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Organization

CENTER PSYCHOTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARET MARY CUNNIFF LCSW, LCADC (OWNER)
(732) 829-2141
Entity
Organization

Contact information

Practice address
508 MAIN ST, AVON BY THE SEA, NJ 07717-1018
(732) 829-2141
(732) 988-4317
Mailing address
508 MAIN ST, AVON BY THE SEA, NJ 07717-1018
(732) 829-2141
(732) 988-4317

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04686900
NJ
251S00000X
Community/Behavioral Health Agency
44SC04686900
NJ

Other

Enumeration date
12/28/2017
Last updated
12/28/2017
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