Organization
OCEAN COUNTY COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMBI WALZER (PROGRAM SUPERVISOR)
(732) 718-0824
Entity
Organization
Contact information
Practice address
145 CURTIS PL, MANASQUAN, NJ 08736-2811
(732) 718-0824
(732) 612-3885
Mailing address
PO BOX 96, SEA GIRT, NJ 08750-0096
(609) 718-0824
(732) 612-3885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05355800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100277
—
NJ
Enumeration date
04/12/2007
Last updated
07/16/2009
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