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1245563121
LISA SLATER
RIDGEWOOD, NJ
NPI
1245563121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 059988)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
-- LISA SLATER LCSW
20 WILSEY SQ
RIDGEWOOD, NJ 07450-3793
Phone number: 201-445-1068
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Mailing Address
-- LISA SLATER LCSW
20 WILSEY SQ STE C
RIDGEWOOD, NJ 07450-3730
Phone number: 201-445-1068
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