Individual
MR. DAVID MORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LSW
Contact information
Practice address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Mailing address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL06218300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
09/30/2014
Last updated
05/10/2017
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