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1588403703
DIANA CANNIS
BRICK, NJ
NPI
1588403703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NJ 37AC00775000)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
DIANA CANNIS LAC
74 BRICK BLVD BLDG 4
BRICK, NJ 08723-7984
Phone number: 732-992-8171
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Mailing Address
DIANA CANNIS LAC
245 MAIN ST APT 305
TOMS RIVER, NJ 08753-7482
Phone number: 609-772-0882
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