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1598356701
LORETTA BLACKNELL
NEWARK, NJ
NPI
1598356701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SLO5961900)
Enumeration Date
2021-01-30
Last Update Date
2021-01-30
Business Address
Ms. LORETTA BLACKNELL
129 SPRUCE ST
NEWARK, NJ 07108-3017
Phone number: 862-763-1624
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Mailing Address
Ms. LORETTA BLACKNELL
129 SPRUCE ST
NEWARK, NJ 07108-3017
Phone number: 973-202-3046
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