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1346735453
STEPHEN CLARK MIDOUHAS
MIDLAND PARK, NJ
NPI
1346735453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05563500)
Enumeration Date
2018-06-30
Last Update Date
2018-06-30
Business Address
Mr. STEPHEN CLARK MIDOUHAS
700 GODWIN AVE STE 200
MIDLAND PARK, NJ 07432-1460
Phone number: 609-276-0905
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Mailing Address
Mr. STEPHEN CLARK MIDOUHAS
59 BOBOLINK CT
WAYNE, NJ 07470-8450
Phone number:
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