Organization
4 LEVEL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA PETERSON DORSETT LCSW (OWNER)
(609) 433-0201
Entity
Organization
Contact information
Practice address
2565 MAIN ST, LAWRENCEVILLE, NJ 08648-1657
(609) 433-0201
Mailing address
2565 MAIN ST, LAWRENCEVILLE, NJ 08648-1657
(609) 433-0201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05197000
NJ
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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