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1306596093
MICHELLE LYNN FUMOSA
BLOOMFIELD, NJ
NPI
1306596093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ 37LC00311700)
Enumeration Date
2022-03-25
Last Update Date
2023-07-19
Business Address
MICHELLE LYNN FUMOSA LCADC, ICADC, CCS
222 MEMORIAL PKWY
BLOOMFIELD, NJ 07003-4261
Phone number: 973-534-4923
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Mailing Address
MICHELLE LYNN FUMOSA LCADC, ICADC, CCS
222 MEMORIAL PKWY
BLOOMFIELD, NJ 07003-4261
Phone number: 735-344-9239
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