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1417702127
CANDACE JANAE LASTER
WEST ORANGE, NJ
NPI
1417702127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SL07082000)
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
CANDACE JANAE LASTER LMSW
640 EAGLE ROCK AVE STE 1
WEST ORANGE, NJ 07052-2931
Phone number: 862-930-3925
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Mailing Address
CANDACE JANAE LASTER LMSW
3 QUEENS ST
HUNTINGTON, NY 11743-3724
Phone number: 631-923-5438
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