GLORIOUS ALI SHABAZZ

PATERSON, NJ
NPI1851922397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00280000)
Enumeration Date2020-02-03
Last Update Date2020-02-03
Business Address
GLORIOUS ALI SHABAZZ
300 E 29TH ST
PATERSON, NJ 07514-1818
Phone number: 973-930-0044
Mailing Address
GLORIOUS ALI SHABAZZ
300 E 29TH ST
PATERSON, NJ 07514-1818
Phone number: 973-930-0044
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