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1841702966
GRACE JOSEPHINE RIVERA
FAIR LAWN, NJ
NPI
1841702966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 44SL06321500)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
GRACE JOSEPHINE RIVERA LSW
17-07 ROMAINE ST
FAIR LAWN, NJ 07410-2150
Phone number: 201-797-2660
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Mailing Address
GRACE JOSEPHINE RIVERA LSW
577 SCHAEFER AVE
ORADELL, NJ 07649-2517
Phone number: 201-261-1873
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