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1417058892
SIMON A AZAVEDO
ORADELL, NJ
NPI
1417058892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05165700)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. SIMON A AZAVEDO MSW LCSW CCBT DAPA
222 KINDERKAMACK RD SUITE 102
ORADELL, NJ 07649
Phone number: 201-261-8889
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Mailing Address
Mr. SIMON A AZAVEDO MSW LCSW CCBT DAPA
PO BOX 66
NORTHVALE, NJ 07647
Phone number: 201-261-8889
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