Organization
DEBORAH M. MATHIS LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M MATHIS MSW, CSSW, LCSW (PRESIDENT)
(609) 501-5910
Entity
Organization
Contact information
Practice address
108 W MERCHANT ST, AUDUBON, NJ 08106-1424
(609) 501-5910
(856) 546-1480
Mailing address
108 W MERCHANT ST, AUDUBON, NJ 08106-1424
(609) 501-5910
(310) 348-0201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05730300
NJ
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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