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1003959842
NANCY CORNBLATT
LAKEWOOD, NJ
NPI
1003959842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00435900)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- NANCY CORNBLATT LCSW
PREFERRED BEHAVIORAL HEALTH OF NJ CPSAI PROGRAM 700 AIRPORT ROAD
LAKEWOOD, NJ 08701
Phone number: 732-367-4700
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Mailing Address
-- NANCY CORNBLATT LCSW
52 MILL CREEK RD
BAYVILLE, NJ 08721-1339
Phone number: 732-278-0282
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