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1194269209
CRYSTAL MARIE CLARK
SOUTH AMBOY, NJ
NPI
1194269209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
MISS CRYSTAL MARIE CLARK
1 MAIN ST
SOUTH AMBOY, NJ 08879-1142
Phone number: 732-727-2555
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Mailing Address
MISS CRYSTAL MARIE CLARK
1 MAIN ST
SOUTH AMBOY, NJ 08879-1142
Phone number: 732-727-2555
Copy
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