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NPI 1346133493

NPI 1346133493 : THE HUDDLE CHILD AND ADOLESCENT WELLNESS : VOORHEES, NJ

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General NPI Number Information
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    NPI Number           |    1346133493
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE HUDDLE CHILD AND ADOLESCENT WELLNESS 
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Dates
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    Enumeration Date     |    05/29/2025
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    Last Update Date     |    05/29/2025
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Provider Practice Location Address
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    Address Line         |    701 WHITE HORSE RD STE 104 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-2494
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    Country              |    US
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    Telephone            |    201-776-5698
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    701 WHITE HORSE RD STE 104 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-2494
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     JILL A BOCCIA 
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    Credential           |    LCSW
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    Telephone            |    201-776-5698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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