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1285348797
DIANTE SCOTT JORDAN
PARAMUS, NJ
NPI
1285348797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NJ 37FA00032700)
Enumeration Date
2023-01-09
Last Update Date
2023-02-22
Business Address
DIANTE SCOTT JORDAN
15 FARVIEW TER STE 1
PARAMUS, NJ 07652-2762
Phone number: 551-579-4441
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Mailing Address
DIANTE SCOTT JORDAN
15 FARVIEW TER STE 1
PARAMUS, NJ 07652-2762
Phone number: 551-579-4441
Copy
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