Individual
PHOEBE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 GROVE ST., BERLIN, NJ 08009
(609) 238-3787
Mailing address
116 GROVE ST., BERLIN, NJ 08037
(609) 238-3787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00080200
NJ
104100000X
Social Worker
Primary
44SL05264600
NJ
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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