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1336824192
JONATHAN FAINE
CLIFFWOOD, NJ
NPI
1336824192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
JONATHAN FAINE
111 STATE ROUTE 35
CLIFFWOOD, NJ 07721-1512
Phone number: 732-727-2555
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Mailing Address
JONATHAN FAINE
408 WOODY RD
FREEHOLD, NJ 07728-5209
Phone number: 732-865-3701
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