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1720239726
LARRY M. ALI BLAKE
JERSEY CITY, NJ
NPI
1720239726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00522800)
Enumeration Date
2008-10-08
Last Update Date
2008-10-08
Business Address
Mr. LARRY M. ALI BLAKE LCSW
75 HARRISON AVE FIRST FLOOR
JERSEY CITY, NJ 07304-2555
Phone number: 201-451-5425
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Mailing Address
Mr. LARRY M. ALI BLAKE LCSW
75 HARRISON AVE FIRST FLOOR
JERSEY CITY, NJ 07304-2555
Phone number: 201-451-5425
Copy
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