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1104272269
BLUE LAKE SERVICES PC
LAKEWOOD, NJ
NPI
1104272269
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Entity Type
Organization
Authorized Contact
MEYER SEEVE
Owner
718-534-0689
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
BLUE LAKE SERVICES PC
1858 ATTAYA RD
LAKEWOOD, NJ 08701-2901
Phone number: 718-534-0689
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Mailing Address
BLUE LAKE SERVICES PC
1858 ATTAYA RD
LAKEWOOD, NJ 08701-2901
Phone number: 718-534-0689
Copy
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