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1548720055
CANDACE IBRAHIM
LAWRENCEVILLE, NJ
NPI
1548720055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ 26NJ00911600)
Enumeration Date
2019-03-21
Last Update Date
2021-07-12
Business Address
CANDACE IBRAHIM
22 GORDON AVE
LAWRENCEVILLE, NJ 08648-1033
Phone number: 609-844-0452
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Mailing Address
CANDACE IBRAHIM
18 LAUREL DR
WRIGHTSTOWN, NJ 08562-2015
Phone number: 609-752-2357
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