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Organization

RUBY ROAD LLC

Active
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Organization

RUBY ROAD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN R WHITE LPC (OWNER/ THERAPIST)
(856) 887-1422
Entity
Organization

Contact information

Practice address
178 N BROADWAY, PENNSVILLE, NJ 08070-1422
(856) 887-1422
Mailing address
178 N BROADWAY, PENNSVILLE, NJ 08070-1422

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/12/2018
Last updated
01/12/2018
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