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1730220054
MICHAEL OUTWATER
JERSEY CITY, NJ
NPI
1730220054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00183400)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL OUTWATER LPC
3040 KENNEDY BLVD
JERSEY CITY, NJ 07306
Phone number: 201-798-9924
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Mailing Address
Mr. MICHAEL OUTWATER LPC
505A MANILA AVE
JERSEY CITY, NJ 07302-1723
Phone number: 201-659-5299
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