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1255524757
VIRGINA D MACISAAC
MIDLAND PARK, NJ
NPI
1255524757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05172200)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
-- VIRGINA D MACISAAC LCSW
323 GODWIN AVE
MIDLAND PARK, NJ 07432-1501
Phone number: 201-444-3533
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Mailing Address
-- VIRGINA D MACISAAC LCSW
323 GODWIN AVE
MIDLAND PARK, NJ 07432-1501
Phone number: 201-444-3533
Copy
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