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1538710744
LISA RA
FAIR LAWN, NJ
NPI
1538710744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00463800)
Enumeration Date
2019-09-28
Last Update Date
2019-09-28
Business Address
LISA RA MA, LAC
22-08 ROUTE 208 STE 16
FAIR LAWN, NJ 07410-2609
Phone number: 201-956-6363
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Mailing Address
LISA RA MA, LAC
16 HARVEY ST
CLOSTER, NJ 07624-1132
Phone number: 201-673-0579
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