Organization
BORDENTOWN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA PETERSON LCSW (CLINICAL DIRECTOR)
(609) 298-9144
Entity
Organization
Contact information
Practice address
410 FARNSWORTH AVE, SUITE 1A, BORDENTOWN, NJ 08505-2005
(609) 298-9144
(609) 298-9288
Mailing address
410 FARNSWORTH AVE, SUITE 1A, BORDENTOWN, NJ 08505-2005
(609) 298-9144
(609) 298-9288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05197000
NJ
Other
Enumeration date
05/04/2007
Last updated
03/26/2008
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