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General NPI Number Information
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NPI Number | 1760875314
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Entity Type | Organization
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Legal Business Name | CENTER FOR FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 108 SOMERDALE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-1901
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Country | US
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Telephone | 856-428-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 584 BENSON ST
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City | CAMDEN
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State | NJ
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Zip | 08103-1324
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Country | US
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Telephone | 856-964-1990
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Fax | 856-964-0242
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | DR. SUE BERGMANN
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Credential | MSW, LCSW, DSW
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Telephone | 856-964-1990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NJ
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