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1053168195
JONATHAN MACCIOCCA
LAWRENCE, NJ
NPI
1053168195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NJ 569)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
JONATHAN MACCIOCCA CPRS
1931 BRUNSWICK AVE
LAWRENCE, NJ 08648-4603
Phone number: 609-571-2659
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Mailing Address
JONATHAN MACCIOCCA CPRS
313 GLENN AVE
LAWRENCE, NJ 08648-3244
Phone number: 609-906-0988
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