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1174140271
LIVING WELL 4 LIFE
JACKSON, NJ
NPI
1174140271
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Entity Type
Organization
Authorized Contact
REKISHIA L MCMILLAN
Owner
732-966-5809
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
LIVING WELL 4 LIFE
405 DAFFODIL DR
JACKSON, NJ 08527-4125
Phone number: 732-966-5809
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Mailing Address
LIVING WELL 4 LIFE
405 DAFFODIL DR
JACKSON, NJ 08527-4125
Phone number: 732-966-5809
Copy
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