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Organization

TWELVE RIVERS ACUPUNCTURE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETH LEATHERMAN L.AC (OWNER)
(646) 691-7482
Entity
Organization

Contact information

Practice address
176 MOUNTAIN AVE STE 2B, HACKETTSTOWN, NJ 07840-2434
(908) 850-1400
(908) 852-1402
Mailing address
261 BLACK RIVER RD, LONG VALLEY, NJ 07853-3067
(646) 691-7482
(908) 852-1402

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MZ00091300
ACUPUNCTURE LICENSE
NJ
Enumeration date
10/20/2021
Last updated
10/20/2021
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