Organization
MY DAUGHTER'S KEEPER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE MARCELLA CLARK (CHIEF EXECUTIVE OFFICER)
(732) 565-9313
Entity
Organization
Contact information
Practice address
1086 LIVINGSTON AVE, SUITE 2, NORTH BRUNSWICK, NJ 08902-1845
(732) 565-9313
(732) 565-1019
Mailing address
1086 LIVINGSTON AVE, SUITE 2, NORTH BRUNSWICK, NJ 08902-1845
(732) 565-9313
(732) 565-1019
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087696
—
NJ
Enumeration date
04/26/2007
Last updated
08/22/2020
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