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1386271211
ADIA J TERRY-PURYEAR
NEWARK, NJ
NPI
1386271211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 44SC05860600)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
ADIA J TERRY-PURYEAR LCSW
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7289
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Mailing Address
ADIA J TERRY-PURYEAR LCSW
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7289
Copy
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