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1699213785
MARK WILLIAM RICHARDSON
NEWARK, NJ
NPI
1699213785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05682000)
Enumeration Date
2017-02-08
Last Update Date
2017-05-11
Business Address
Mr. MARK WILLIAM RICHARDSON MSW, LCSW
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7741
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Mailing Address
Mr. MARK WILLIAM RICHARDSON MSW, LCSW
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7741
Copy
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