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1194473348
MARK DEGRANDIS
MATAWAN, NJ
NPI
1194473348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
MARK DEGRANDIS
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
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Mailing Address
MARK DEGRANDIS
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number:
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