Individual
SEAN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
100 HERITAGE VALLEY DR STE 1, SEWELL, NJ 08080-1752
(856) 553-6110
(856) 269-4674
Mailing address
100 HERITAGE VALLEY DR STE 1, SEWELL, NJ 08080-1752
(856) 553-6110
(856) 269-4674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00762200
NJ
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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