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1598444994
TARA SOFIA BROCK
CLIFTON, NJ
NPI
1598444994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00966300)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
TARA SOFIA BROCK MA, LPC
1135 CLIFTON AVE
CLIFTON, NJ 07013-3642
Phone number: 973-988-4241
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Mailing Address
TARA SOFIA BROCK MA, LPC
53 FAYSON LAKE RD
KINNELON, NJ 07405-3129
Phone number: 516-480-9601
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