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1235601451
JOEL DAVID RUDOLPH
FAIR LAWN, NJ
NPI
1235601451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NJ 37FA00000400)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
JOEL DAVID RUDOLPH LAMFT
33-11 BROADWAY STE 203
FAIR LAWN, NJ 07410-4638
Phone number: 973-769-3699
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Mailing Address
JOEL DAVID RUDOLPH LAMFT
876 ALPS RD
WAYNE, NJ 07470-3905
Phone number: 973-445-5647
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