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1578043543
CARISSA ALI
FREEHOLD, NJ
NPI
1578043543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00401400)
Enumeration Date
2018-08-18
Last Update Date
2018-08-18
Business Address
CARISSA ALI LAC
3499 ROUTE 9 N STE 2C
FREEHOLD, NJ 07728-3277
Phone number: 732-982-2888
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Mailing Address
CARISSA ALI LAC
175 E HAWTHORN PKWY STE 235
VERNON HILLS, IL 60061-1454
Phone number: 847-737-8768
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