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1114419579
LACEY JAYNE HOLOVACKO
BRICK, NJ
NPI
1114419579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00414900)
Enumeration Date
2018-06-01
Last Update Date
2022-05-23
Business Address
Miss LACEY JAYNE HOLOVACKO LPC
35 BEAVERSON BLVD STE 4D
BRICK, NJ 08723-7857
Phone number: 908-373-1059
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Mailing Address
Miss LACEY JAYNE HOLOVACKO LPC
49 VINEYARD AVE
SOUTH AMBOY, NJ 08879-2515
Phone number: 732-331-5507
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