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1518593789
JANE MARA LUPO
SPARTA, NJ
NPI
1518593789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37CA00117600)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
JANE MARA LUPO CADC
25 MAIN ST
SPARTA, NJ 07871-1937
Phone number: 973-903-1514
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Mailing Address
JANE MARA LUPO CADC
25 MAIN ST
SPARTA, NJ 07871-1937
Phone number: 973-903-1514
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