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1477562023
GEORGE LOUIS LAFOUNTAIN
RIDGEWOOD, NJ
NPI
1477562023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00150900)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
Mr. GEORGE LOUIS LAFOUNTAIN MSW LCSW
65 N MAPLE AVE #208
RIDGEWOOD, NJ 07450
Phone number: 201-444-4228
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Mailing Address
Mr. GEORGE LOUIS LAFOUNTAIN MSW LCSW
12 NEWMAN AVE
NUTLEY, NJ 07110-2126
Phone number: 201-444-4228
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