RICHARD BEVACQUA

LAKEWOOD, NJ
NPI1558409532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NJ  44SC00836300)
Enumeration Date2007-02-02
Last Update Date2007-07-09
Business Address
RICHARD BEVACQUA LCSW
PREFERRED BEHAVIORAL HEALTH SAIL PROGRAM 999 AIRPORT ROAD
LAKEWOOD, NJ 08701
Phone number: 732-367-1710
Mailing Address
RICHARD BEVACQUA LCSW
99 BARK ST
TOMS RIVER, NJ 08753-1866
Phone number: 732-255-4014
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