Organization
ATLANTIC THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI KELLER RODRICK L.C.S.W. (OWNER)
(732) 223-3131
Entity
Organization
Contact information
Practice address
1913 ATLANTIC AVE, SUITE F5, MANASQUAN, NJ 08736-1029
(732) 223-3131
(732) 223-6262
Mailing address
1913 ATLANTIC AVE, SUITE F5, MANASQUAN, NJ 08736-1029
(732) 223-3131
(732) 223-6262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05179700
NJ
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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