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1689213035
DIMITRIS MYLES MEREDITH
BLOOMFIELD, NJ
NPI
1689213035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NJ 37PC00494400)
Enumeration Date
2020-01-02
Last Update Date
2020-01-02
Business Address
DIMITRIS MYLES MEREDITH LPC
12 PROSPECT ST
BLOOMFIELD, NJ 07003-3211
Phone number: 717-343-7551
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Mailing Address
DIMITRIS MYLES MEREDITH LPC
858 SANFORD AVE
IRVINGTON, NJ 07111-1510
Phone number: 717-343-7551
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