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1164630604
LISA LANDIS
OAKLAND, NJ
NPI
1164630604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SCO4381200)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- LISA LANDIS
410 RAMAPO VALLEY RD
OAKLAND, NJ 07436-2735
Phone number: 201-337-6650
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Mailing Address
-- LISA LANDIS
137 PAGE DRIVE
OAKLAND, NJ 07436
Phone number:
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