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1083478663
LUCAS RICARDO MANRIQUE
EAST BRUNSWICK, NJ
NPI
1083478663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00755100)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
LUCAS RICARDO MANRIQUE LAC NCC
758 NEW JERSEY 18
EAST BRUNSWICK, NJ 08816
Phone number: 908-543-4566
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Mailing Address
LUCAS RICARDO MANRIQUE LAC NCC
418 PREAKNESS AVE
PATERSON, NJ 07502-1108
Phone number: 973-865-2805
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