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1063083111
MICHAEL A RUSSOMANNO
CEDAR GROVE, NJ
NPI
1063083111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sc05342600)
Enumeration Date
2021-07-08
Last Update Date
2024-10-16
Business Address
Mr. MICHAEL A RUSSOMANNO LCSw
46 HIGHFIELD LN
CEDAR GROVE, NJ 07009
Phone number: 973-980-3707
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Mailing Address
Mr. MICHAEL A RUSSOMANNO LCSw
46 HIGHFIELD LN
CEDAR GROVE, NJ 07009
Phone number: 973-980-3707
Copy
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