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1184173452
REGINA CHARLES
FAIR LAWN, NJ
NPI
1184173452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37ac00309600)
Enumeration Date
2016-09-28
Last Update Date
2016-11-07
Business Address
-- REGINA CHARLES LAC
17-07 ROMAINE ST
FAIR LAWN, NJ 07410-2150
Phone number: 201-797-2660
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Mailing Address
-- REGINA CHARLES LAC
17-07 ROMAINE ST
FAIR LAWN, NJ 07410-2150
Phone number: 201-797-2660
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