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1396158523
PROVIDENCIA LEBRON
PERTH AMBOY, NJ
NPI
1396158523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sl05948400)
Enumeration Date
2014-06-05
Last Update Date
2018-11-26
Business Address
Ms. PROVIDENCIA LEBRON
275 HOBART ST
PERTH AMBOY, NJ 08861-3396
Phone number: 908-376-9333
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Mailing Address
Ms. PROVIDENCIA LEBRON
PO BOX 1220
PERTH AMBOY, NJ 08862-1220
Phone number: 732-376-9333
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