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1548855323
RAFAEL A PENA
NEWARK, NJ
NPI
1548855323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00327800)
Enumeration Date
2021-03-04
Last Update Date
2021-03-04
Business Address
Mr. RAFAEL A PENA LCADC
136 TIFFANY BLVD APT 228
NEWARK, NJ 07104-2470
Phone number: 201-658-5044
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Mailing Address
Mr. RAFAEL A PENA LCADC
136 TIFFANY BLVD APT 228
NEWARK, NJ 07104-2470
Phone number: 201-658-5044
Copy
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