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1770981755
KAITLIN LUONGO
MOUNTAINSIDE, NJ
NPI
1770981755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05605200)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
-- KAITLIN LUONGO
150 NEW PROVIDENCE RD
MOUNTAINSIDE, NJ 07092-2590
Phone number: 908-233-3720
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Mailing Address
-- KAITLIN LUONGO
150 NEW PROVIDENCE RD
MOUNTAINSIDE, NJ 07092-2590
Phone number:
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