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1487128526
DOMINIQUE COPPOLINO
TOMS RIVER, NJ
NPI
1487128526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05837100)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
DOMINIQUE COPPOLINO MSW, LCSW
591 LAKEHURST RD
TOMS RIVER, NJ 08755-8045
Phone number: 732-367-1710
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Mailing Address
DOMINIQUE COPPOLINO MSW, LCSW
PREFERRED BEHAVIORAL HEALTH GROUP PO BOX 2036
LAKEWOOD, NJ 08701-1541
Phone number: 732-367-1710
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