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1891015368
LACEY MARIE WALLACE-CZIRJAK
EAST BRUNSWICK, NJ
NPI
1891015368
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Former Name
LACEY M WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SC05313200)
Enumeration Date
2010-06-08
Last Update Date
2010-06-15
Business Address
Mrs. LACEY MARIE WALLACE-CZIRJAK LCSW
15 WEST PROSPECT STREET
EAST BRUNSWICK, NJ 08816
Phone number: 732-254-0600
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Mailing Address
Mrs. LACEY MARIE WALLACE-CZIRJAK LCSW
4 MASON AVE
EAST BRUNSWICK, NJ 08816
Phone number: 732-715-1877
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