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1205656402
AMELO BACCHUS
EAST ORANGE, NJ
NPI
1205656402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00826000)
Enumeration Date
2024-10-12
Last Update Date
2024-10-12
Business Address
AMELO BACCHUS LAC
67 SANFORD ST
EAST ORANGE, NJ 07018-1926
Phone number: 973-673-3342
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Mailing Address
AMELO BACCHUS LAC
54 POLK ST APT O3
NEWARK, NJ 07105-2880
Phone number: 862-218-7755
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