Organization
CAROL TUDOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL TUDOR (CLINICAL MENTAL HEALTH COUNSELOR)
(973) 476-8167
Entity
Organization
Contact information
Practice address
2 GREEN VILLAGE RD, MADISON, NJ 07940-2582
(973) 476-8167
Mailing address
2 GREEN VILLAGE RD, MADISON, NJ 07940-2582
(973) 476-8167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00504100
NJ
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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