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Organization

ALAS POOR YORICK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN COLLERY LCSW (PRIMARY THERAPIST)
(732) 443-3558
Entity
Organization

Contact information

Practice address
171 MAIN ST, METUCHEN, NJ 08840-2744
(732) 443-3558
Mailing address
PO BOX 1557, NEW BRUNSWICK, NJ 08903-1557

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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