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1003243817
SUSAN HATAMI
ASBURY PARK, NJ
NPI
1003243817
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Former Name
SUSAN AFFA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05759800)
Enumeration Date
2013-10-11
Last Update Date
2018-01-22
Business Address
SUSAN HATAMI
1011 BOND ST
ASBURY PARK, NJ 07712-5939
Phone number: 732-869-2769
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Mailing Address
SUSAN HATAMI
1200 JUMPING BROOK RD BLDG 5, STE 201, ATTN: BEHAVIORAL HEALTH CREDENTIALING
NEPTUNE, NJ 07753
Phone number: 732-643-4372
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