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1225774755
ALEXA JAE ANTONELLI
CLIFTON, NJ
NPI
1225774755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-08
Last Update Date
2022-05-08
Business Address
ALEXA JAE ANTONELLI
377 VALLEY RD # 1154
CLIFTON, NJ 07013-1319
Phone number: 646-204-2295
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Mailing Address
ALEXA JAE ANTONELLI
1339 OUTLOOK DR
MOUNTAINSIDE, NJ 07092-1422
Phone number: 845-492-7956
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