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1659612174
DAI PHAN
ELIZABETH, NJ
NPI
1659612174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SL05403600)
Enumeration Date
2013-03-07
Last Update Date
2013-03-07
Business Address
DAI PHAN LCSW
615 N BROAD ST
ELIZABETH, NJ 07208-3409
Phone number: 908-355-7886
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Mailing Address
DAI PHAN LCSW
615 N BROAD ST
ELIZABETH, NJ 07208-3409
Phone number: 908-355-7886
Copy
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