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1336695485
MADEARIA LYNETTE LOWERY
LAWNSIDE, NJ
NPI
1336695485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2016-08-29
Last Update Date
2016-08-29
Business Address
MADEARIA LYNETTE LOWERY
202 HILLIARD T MOORE AVE
LAWNSIDE, NJ 08045-1122
Phone number: 856-534-2409
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Mailing Address
MADEARIA LYNETTE LOWERY
202 HILLIARD T MOORE AVE
LAWNSIDE, NJ 08045-1122
Phone number: 856-534-2409
Copy