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1083195366
STEPHANIE H WILSON
ALLENDALE, NJ
NPI
1083195366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ 37LC00204900)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
STEPHANIE H WILSON
227 DONNY BROOK DR
ALLENDALE, NJ 07401-1422
Phone number: 201-588-3491
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Mailing Address
STEPHANIE H WILSON
227 DONNY BROOK DR
ALLENDALE, NJ 07401-1422
Phone number: 201-588-3491
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