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1699857581
ALAN MARK VIETZE
HIGHLAND PARK, NJ
NPI
1699857581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SCO4717900)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- ALAN MARK VIETZE LCSW
1001 RARITAN AVE
HIGHLAND PARK, NJ 08904-3667
Phone number: 732-991-1540
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Mailing Address
-- ALAN MARK VIETZE LCSW
801 EDEN AVE
HIGHLAND PARK, NJ 08904-3003
Phone number: 732-991-1540
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