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1083787584
MITCHELL STEPHEN DORMONT
UNION, NJ
NPI
1083787584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00440600)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mr. MITCHELL STEPHEN DORMONT LCSW
1961 MORRIS AVE SUITE 206
UNION, NJ 07083-5914
Phone number: 908-686-0560
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Mailing Address
Mr. MITCHELL STEPHEN DORMONT LCSW
495 TENNET ROAD
MANALAPAN, NJ 07726-3411
Phone number: 732-446-4122
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