Organization
A LITTLE SOMETHING EXTRA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALA DEVI DEODHARI LCSW (CLINICAL DIRECTOR)
(732) 991-1556
Entity
Organization
Contact information
Practice address
1520 NORTHUMBERLAND WAY, MONMOUTH JUNCTION, NJ 08852-2374
(732) 991-1556
Mailing address
1520 NORTHUMBERLAND WAY, MONMOUTH JUNCTION, NJ 08852-2374
(732) 991-1556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05563800
NJ
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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