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1518536432
DARRA LYNN STACK
MANAHAWKIN, NJ
NPI
1518536432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SL06415500)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
DARRA LYNN STACK LCSW
81 NAUTILUS DR
MANAHAWKIN, NJ 08050-2448
Phone number: 732-966-4166
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Mailing Address
DARRA LYNN STACK LCSW
65 OXYCOCUS RD
MANAHAWKIN, NJ 08050-2939
Phone number: 609-548-8841
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