Organization
SAMANTHA KNOCKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA KNOCKE LPC, LCADC (OWNER)
(609) 780-6225
Entity
Organization
Contact information
Practice address
76 W JIMMIE LEEDS RD STE 402, GALLOWAY, NJ 08205-9400
(609) 780-6225
Mailing address
5814 HICKORY ST, MAYS LANDING, NJ 08330-3702
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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