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1134677149
LISA LAGRANDE
EAST BRUNSWICK, NJ
NPI
1134677149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SL06128300)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- LISA LAGRANDE
15 W PROSPECT ST STE 2
EAST BRUNSWICK, NJ 08816-2161
Phone number: 732-254-0600
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Mailing Address
-- LISA LAGRANDE
19 FAIRVIEW AVE
EAST BRUNSWICK, NJ 08816-2862
Phone number:
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