Organization
COR SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MARIE RULE SUAREZ LCSW (CLINICAL DIRECTOR)
(201) 564-7331
Entity
Organization
Contact information
Practice address
294 HARRINGTON AVE, SUITE 7, CLOSTER, NJ 07624-1912
(201) 564-7331
(201) 564-7337
Mailing address
294 HARRINGTON AVE, SUITE 7, CLOSTER, NJ 07624-1912
(201) 564-7331
(201) 564-7337
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1083950471
NJ
1041C0700X
Clinical Social Worker
1821413626
NJ
Other
Enumeration date
01/05/2017
Last updated
07/11/2017
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