Organization
ENLIGHTEN WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BROCK-PITTS LCSW (MANAGER)
(215) 409-8043
Entity
Organization
Contact information
Practice address
140 S BROADWAY STE 7, PITMAN, NJ 08071-2235
(215) 409-8043
Mailing address
140 S BROADWAY STE 7, PITMAN, NJ 08071-2235
(215) 409-8043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05590700
NJ
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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