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Organization

FARIFIELD TOWNSHIP SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD DAVIDSON (BA)
(856) 453-1882
Entity
Organization

Contact information

Practice address
375 GOULDTOWN WOODRUFF RD, BRIDGETON, NJ 08302-7242
(856) 453-1882
(856) 453-7189
Mailing address
375 GOULDTOWN WOODRUFF RD, BRIDGETON, NJ 08302-7242
(856) 453-1882
(856) 453-7189

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40611
NJ
104100000X
Social Worker
538341
NJ
225100000X
Physical Therapist
40QA00518300
NJ
225X00000X
Occupational Therapist
46TR00264300
NJ
235Z00000X
Speech-Language Pathologist
89331
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6544908
NJ
Enumeration date
09/30/2014
Last updated
09/30/2014
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