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1669030045
LISA GRAY
NEWARK, NJ
NPI
1669030045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 07554301)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
LISA GRAY
2 CENTER ST APT 498
NEWARK, NJ 07102-4563
Phone number: 201-284-1925
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Mailing Address
LISA GRAY
72 VAN REIPEN AVE # 168
JERSEY CITY, NJ 07306-2806
Phone number: 201-284-1925
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