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1154176444
ANTHONY D'AGNENICA
NEW PROVIDENCE, NJ
NPI
1154176444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05731000)
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
Mr. ANTHONY D'AGNENICA
121 CHANLON RD
NEW PROVIDENCE, NJ 07974-1543
Phone number: 973-299-9954
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Mailing Address
Mr. ANTHONY D'AGNENICA
45 SOCIETY HILL WAY
TINTON FALLS, NJ 07724-3802
Phone number: 401-741-8959
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