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General NPI Number Information
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NPI Number | 1962763607
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Entity Type | Organization
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Legal Business Name | AFFINITY COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 2517 HWY 35 BLDG H SUITE 205
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City | MANASQUAN
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State | NJ
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Zip | 08736-1918
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Country | US
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Telephone | 732-383-1933
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Fax | 732-383-1933
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Provider Business Mailing Address
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Address Line | 1915 MEADOW RD
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-3322
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Country | US
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Telephone | 732-383-1933
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Fax | 732-383-1933
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Authorized Official
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Title or Position | OWNER, CLINICAL SOCIAL WORKER
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Name | MRS. LORI J TONTI
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Credential | MSW, LCSW
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Telephone | 732-383-1933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC00841600
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License Number State | NJ
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