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1265135578
STACEY ROSE
TINTON FALLS, NJ
NPI
1265135578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 76-0803137)
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
STACEY ROSE
776 SHREWSBURY AVE STE 204
TINTON FALLS, NJ 07724-4507
Phone number: 732-517-1177
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Mailing Address
STACEY ROSE
776 SHREWSBURY AVE STE 204
TINTON FALLS, NJ 07724-4507
Phone number: 732-517-1177
Copy
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