Maple Therapy Center LLC
NPI #1225365372 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1225365372
- Entity Type
- Organization
- Organization Name
- Maple Therapy Center LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 11, 2009
- Last Updated
- Nov 11, 2009
Practice Location
- Address
- 65 N MAPLE AVE # 209
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-3233
- Phone
- (201) 566-1535
Authorized Official
- Name
- MS. SUSAN O PETERSON, L.C.S.W.
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (201) 566-1535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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