Organization
BOTTS THERAPY AND CONSULTING LLC
Active
Organization
BOTTS THERAPY AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH BOTTS LCSW (MEMBER)
(616) 893-4519
Entity
Organization
Contact information
Practice address
104 MANHATTAN AVE, JERSEY CITY, NJ 07307-3021
(616) 893-4519
Mailing address
104 MANHATTAN AVE, JERSEY CITY, NJ 07307-3021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05583000
NJ
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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