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4th And Grove Llc
Mental Health Counselor in Glassboro, New Jersey
NPI 1831762228

4th And Grove Llc is a Mental Health Counselor based in Glassboro, NJ and is specialized in Mental Health. 4th And Grove Llc practices in Glassboro, NJ. The NPI Number for 4th And Grove Llc is 1831762228 and holds a License No. (New Jersey).

The current practice location address for 4th And Grove Llc is 480 Defrancesco Cir, Glassboro, NJ and can be reached out via phone at 856-441-5216.

Location: 480 Defrancesco Cir, Glassboro, NJ, 08028-0752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831762228
Provider Name
4th And Grove Llc
Credential
Provider Entity Type
Organization
Address
480 Defrancesco Cir, Glassboro, NJ, 08028-0752
Phone Number
856-441-5216
Fax Number
Provider Enumeration Date
07/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 Defrancesco Cir
City
Glassboro
State
New Jersey
Zip
08028-4906
Phone Number
856-441-5216
Fax Number
person
Provider Business Mailing Address Details
Address
480 Defrancesco Cir
City
Glassboro
State
New Jersey
Zip
08028-4906
Phone Number
856-441-5216
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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