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Organization

FAMILY THERAPY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA KANCE BROLIN APRN, C, MA, CNS (OWNER)
(609) 439-7517
Entity
Organization

Contact information

Practice address
395 RIDGE RD, SUITE 2, DAYTON, NJ 08810-1398
(609) 439-7517
(732) 438-1660
Mailing address
395 RIDGE RD, SUITE 2, DAYTON, NJ 08810-1398
(609) 439-7517
(732) 438-1660

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NRO4738000
NJ

Other

Enumeration date
06/13/2008
Last updated
06/13/2008
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