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1306058631
LISA ANN PRO-MENNER
FAIR LAWN, NJ
NPI
1306058631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05191700)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- LISA ANN PRO-MENNER MSW
22-08 STATE RT 208 STE 16
FAIR LAWN, NJ 07410-2609
Phone number: 201-956-6363
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Mailing Address
-- LISA ANN PRO-MENNER MSW
22-08 STATE RT 208 STE 16
FAIR LAWN, NJ 07410-2609
Phone number: 201-956-6363
Copy
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