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1124469580
PRUDENCE SMANIOTTO
BERLIN, NJ
NPI
1124469580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
-- PRUDENCE SMANIOTTO MAT
128 BERLIN CROSS KEYS RD
BERLIN, NJ 08009-9201
Phone number: 856-210-1500
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Mailing Address
-- PRUDENCE SMANIOTTO MAT
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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