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1235487646
MELANIE DEFAZIO
POMPTON LAKES, NJ
NPI
1235487646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NJ 37PC00381500)
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
-- MELANIE DEFAZIO LPC
103 MOUNTAINSIDE DR
POMPTON LAKES, NJ 07442-1760
Phone number: 973-598-5317
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Mailing Address
-- MELANIE DEFAZIO LPC
103 MOUNTAINSIDE DR
POMPTON LAKES, NJ 07442-1760
Phone number: 973-598-5317
Copy
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