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1811696719
MARISA MAE DOUGLAS
WOODBURY, NJ
NPI
1811696719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06735600)
Enumeration Date
2023-02-28
Last Update Date
2024-11-16
Business Address
MARISA MAE DOUGLAS
1 LUPTON AVE
WOODBURY, NJ 08096-5901
Phone number: 856-693-5775
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Mailing Address
MARISA MAE DOUGLAS
1 LUPTON AVE
WOODBURY, NJ 08096-5901
Phone number: 856-693-5775
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