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1477201465
NICOLE LYNN OWENBURG
HAZLET, NJ
NPI
1477201465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NJ 37AC00630900)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
NICOLE LYNN OWENBURG LAC, NCC
22 VILLAGE CT
HAZLET, NJ 07730-1532
Phone number: 732-639-0232
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Mailing Address
NICOLE LYNN OWENBURG LAC, NCC
9 WINTERGREEN AVE
BRICK, NJ 08723-5541
Phone number: 323-205-2487
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