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1295079150
NATALIE MISCHENKO
BRICK, NJ
NPI
1295079150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00180100)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
-- NATALIE MISCHENKO MA, LCADC
1610 ROUTE 88
BRICK, NJ 08724-3018
Phone number: 732-403-6835
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Mailing Address
-- NATALIE MISCHENKO MA, LCADC
16 LAKE AVE UNIT 31
OCEAN GROVE, NJ 07756-1696
Phone number: 732-403-6835
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