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1295506277
GARCIA OUTLAW
ELIZABETH, NJ
NPI
1295506277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ 37LC00227700)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
MR. GARCIA OUTLAW LCADC,CCS
850 WOODRUFF LN
ELIZABETH, NJ 07201-2022
Phone number: 908-352-0850
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Mailing Address
MR. GARCIA OUTLAW LCADC,CCS
850 WOODRUFF LANE
ELIZABETH, NJ 07201
Phone number: 908-352-0850
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