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Organization

STACEY BLAUTH, LPC LCADC

Active
Parent organization
CHERYL A. BYK, LCSW LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHERYL A. BYK, LCSW LLC
Authorized official
PATRICIA BLANCHETTTE (OFFICE MANAGER)
(609) 971-8989
Entity
Organization

Contact information

Practice address
500 MAIN ST BLDG 2, LANOKA HARBOR, NJ 08734-2228
(609) 971-8989
(609) 242-3207
Mailing address
1131 LAUREL BLVD, LANOKA HARBOR, NJ 08734-2903
(609) 971-8989
(609) 242-3207

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00350900
NJ

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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