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Addiction Substance Use Disorder

Freehold, New Jersey

Provider NPI: 1891793691

Provider Information:
Gender: M

Practice Location:
4400 ROUTE 9 S  FREEHOLD, NJ 07728 US
Tel: 732-740-1107  Fax: --

Business Mailing Address:
Tel: 732-740-1107  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Addiction (Substance Use Disorder)
X101YM0800XBehavioral Health & Social Service Providers
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
X1041S0200XBehavioral Health & Social Service Providers
Social Worker


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