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1699374645
KIMBERLY SAMRA
RIDGEWOOD, NJ
NPI
1699374645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ AC-GTL-20-01847)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
KIMBERLY SAMRA LAC
120 CHESTNUT ST
RIDGEWOOD, NJ 07450-2504
Phone number: 201-444-3550
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Mailing Address
KIMBERLY SAMRA LAC
120 CHESTNUT ST
RIDGEWOOD, NJ 07450-2504
Phone number: 201-444-3550
Copy
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