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1043221252
ELISA SHAWN MILLER BRUCKNER
RAMSEY, NJ
NPI
1043221252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ sc46893)
Enumeration Date
2006-08-11
Last Update Date
2017-03-21
Business Address
-- ELISA SHAWN MILLER BRUCKNER lcsw
205 N FRANKLIN TPKE
RAMSEY, NJ 07446-1630
Phone number: 201-321-2956
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Mailing Address
-- ELISA SHAWN MILLER BRUCKNER lcsw
16 PELZ FARM CT
MAHWAH, NJ 07430-3275
Phone number: 201-321-2956
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