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1811511694
RANDALL WHITE
MAYS LANDING, NJ
NPI
1811511694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ 37LC00246700)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
RANDALL WHITE LCADC
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330-2022
Phone number: 855-740-1921
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Mailing Address
RANDALL WHITE LCADC
2701 RENAISSANCE BLVD FL 4
KING OF PRUSSIA, PA 19406-2781
Phone number: 484-803-9663
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