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1134191091
LUCIE SKIDANOW
ELIZABETH, NJ
NPI
1134191091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SC00332500)
Enumeration Date
2006-02-06
Last Update Date
2007-07-08
Business Address
LUCIE SKIDANOW LCSW
655 E JERSEY ST
ELIZABETH, NJ 07206-1259
Phone number: 908-994-5000
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Mailing Address
LUCIE SKIDANOW LCSW
225 WILLIAMSON ST PHYSICIAN BILLING
ELIZABETH, NJ 07202-3625
Phone number: 908-994-8068
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