The Difference Of One Mentoring And Supportive Services, Llc

Specialty details in registry · Maple Shade, NJ

Call (609) 781-1196 Directions

At a glance

119 Maplewood Dr, Maple Shade, NJ 08052-1923

NPPES record updated Aug 29, 2019. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

119 Maplewood Dr
Maple Shade, NJ 08052-1923
Professional details: NPI, taxonomy & registry record
NPI1134777410
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
Aug 29, 2019
Record updated
Aug 29, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251C00000X

Specialty details in registry

251S00000X

Specialty details in registry

253Z00000X

Specialty details in registry

261QD1600X

Specialty details in registry

261QM0801X · Primary

Specialty details in registry

261QM0850X

Specialty details in registry

261QM0855X

Specialty details in registry

347C00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

119 Maplewood Dr
Maple Shade, NJ 08052-1923
Phone
(609) 781-1196
Mailing address
119 MAPLEWOOD DR

MAPLE SHADE, NJ 080521923
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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