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1053932129
SHANTANAI LARESA SEALY
PHILLIPSBURG, NJ
NPI
1053932129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06331900)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
SHANTANAI LARESA SEALY
370 MEMORIAL PKWY STE 3
PHILLIPSBURG, NJ 08865-1580
Phone number: 908-689-1000
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Mailing Address
SHANTANAI LARESA SEALY
67 HALSTEAD ST APT 1104
CLINTON, NJ 08809-1419
Phone number: 732-372-5804
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