Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA NICOLE ISRAEL LCSW (LCSW/OWNER)
(856) 693-6286
Entity
Organization
Contact information
Practice address
65 CHRISTMAS AVE, CARNEYS POINT, NJ 08069-1504
(856) 693-6286
Mailing address
PO BOX 713, SALEM, NJ 08079-0713
(856) 693-6286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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