South Orange Blossoms, LLC
NPI #1063985679 in Summit, New Jersey
Provider Information
- NPI Number
- 1063985679
- Entity Type
- Organization
- Organization Name
- South Orange Blossoms, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 7, 2019
- Last Updated
- Apr 13, 2021
Practice Location
- Address
- 467 SPRINGFIELD AVE STE 205
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-2622
- Phone
- (973) 370-5686
Authorized Official
- Name
- JENNIFER BURLESON, MSW, LCSW
- Title
- OWNER/PSYCHOTHERAPIST
- Phone
- (973) 370-5686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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