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1609132562
MARK DODD
MONTCLAIR, NJ
NPI
1609132562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC04723200)
Enumeration Date
2012-04-04
Last Update Date
2012-04-04
Business Address
-- MARK DODD LCSW
101 PARK ST
MONTCLAIR, NJ 07042-2963
Phone number: 973-464-1542
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Mailing Address
-- MARK DODD LCSW
101 PARK ST
MONTCLAIR, NJ 07042-2963
Phone number:
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