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1114509288
MENASHE EAST
RANDOLPH, NJ
NPI
1114509288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sl06447200)
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
MENASHE EAST LSW
1 NUKO TER
RANDOLPH, NJ 07869-4105
Phone number: 201-923-1107
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Mailing Address
MENASHE EAST LSW
1 NUKO TER
RANDOLPH, NJ 07869-4105
Phone number: 201-923-1107
Copy
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