Living in the Second Half L. L. C

NPI #1790257111 in Montclair, New Jersey

Provider Information

NPI Number: 1790257111
Entity Type: Organization
Organization Name: Living in the Second Half L. L. C
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 24, 2018
Last Updated: Dec 24, 2018

Practice Location

Address: 33 PLYMOUTH ST STE 301
City: Montclair
State: New Jersey
ZIP Code: 07042-2677
Phone: (646) 859-0125

Authorized Official

Name: MRS. VANESSA ANGELA WATSON, LCSW
Title: OWNER
Phone: (646) 859-0125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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