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1750741617
MICHELE MANCUSO
TINTON FALLS, NJ
NPI
1750741617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05550000)
Enumeration Date
2016-03-03
Last Update Date
2019-11-27
Business Address
MICHELE MANCUSO LCSW
788 SHREWSBURY AVE STE 2200
TINTON FALLS, NJ 07724-3080
Phone number: 732-832-5411
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Mailing Address
MICHELE MANCUSO LCSW
153 GRAND AVE APT 37
ATLANTIC HIGHLANDS, NJ 07716-1449
Phone number: 732-832-5411
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