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1497502629
KATIE JO FACTO
CALDWELL, NJ
NPI
1497502629
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Former Name
KATIE JO GROTENHUIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00789900)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
Mrs. KATIE JO FACTO
333 BLOOMFIELD AVE
CALDWELL, NJ 07006-5166
Phone number: 646-286-9380
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Mailing Address
Mrs. KATIE JO FACTO
456 RICHMOND AVE
MAPLEWOOD, NJ 07040-1416
Phone number: 646-286-9380
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