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1114342078
BANDELE ADDISON
BRICK, NJ
NPI
1114342078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NJ 37PC00491900)
Enumeration Date
2014-02-28
Last Update Date
2014-02-28
Business Address
BANDELE ADDISON LPC
522 BRICK BLVD
BRICK, NJ 08723-6089
Phone number: 973-432-0427
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Mailing Address
BANDELE ADDISON LPC
631M MADISON DR
MONROE TOWNSHIP, NJ 08831-5243
Phone number: 973-432-0427
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