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1699332221
SANTA GHOSH DASTIDAR
RIDGEWOOD, NJ
NPI
1699332221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05780000)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
SANTA GHOSH DASTIDAR LCSW
162 E RIDGEWOOD AVE STE 2
RIDGEWOOD, NJ 07450-3846
Phone number: 201-373-6336
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Mailing Address
SANTA GHOSH DASTIDAR LCSW
162 E RIDGEWOOD AVE STE 2
RIDGEWOOD, NJ 07450-3846
Phone number: 201-373-6326
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