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1013563576
MELISSA GREEN-JACKSON
MIDLAND PARK, NJ
NPI
1013563576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00400000)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
MELISSA GREEN-JACKSON LPC
317 GODWIN AVE
MIDLAND PARK, NJ 07432-1519
Phone number: 201-241-2422
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Mailing Address
MELISSA GREEN-JACKSON LPC
159 VREELAND AVE
RUTHERFORD, NJ 07070-2229
Phone number: 201-615-0204
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