| NPI | 1568966430 |
|---|---|
| Doing Business As | TRACY DURKIN, LCSW |
| Entity Type | Organization |
| Authorized Contact | TRACY DURKIN Owner 732-758-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 44SC01169800) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |