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1124616446
MIGNOLIA PLACENCIA
WAYNE, NJ
NPI
1124616446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37AC00473300)
Enumeration Date
2021-01-03
Last Update Date
2021-01-03
Business Address
MIGNOLIA PLACENCIA
1401 VALLEY RD
WAYNE, NJ 07470-2073
Phone number: 973-368-7781
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Mailing Address
MIGNOLIA PLACENCIA
113 KNOLLS RD
BLOOMINGDALE, NJ 07403-1513
Phone number: 862-668-1348
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