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1114453479
TINAMARIE VENISCOFSKI
TOMS RIVER, NJ
NPI
1114453479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ 37LC00258100)
Enumeration Date
2017-05-05
Last Update Date
2020-07-23
Business Address
TINAMARIE VENISCOFSKI LCADC
1163 ROUTE 37 W STE C2
TOMS RIVER, NJ 08755-4975
Phone number: 201-304-3117
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Mailing Address
TINAMARIE VENISCOFSKI LCADC
1211 ECHO PL
TOMS RIVER, NJ 08755-4949
Phone number: 201-304-3117
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