Organization
SEGALL THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SEGALL LCSW (OWNER)
(732) 859-1464
Entity
Organization
Contact information
Practice address
220 FARADAY AVE, JACKSON, NJ 08527-5073
(732) 859-1464
Mailing address
16 KLETSK HILL RD, LAKEWOOD, NJ 08701-2971
(732) 859-1464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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