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1902486368
ALEX SHAQUILLE THOMPSON
MONTCLAIR, NJ
NPI
1902486368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06108100)
Enumeration Date
2021-04-10
Last Update Date
2022-12-21
Business Address
Mr. ALEX SHAQUILLE THOMPSON LCSW, MSW
18-20 LACKAWANNA PLZ STE 200
MONTCLAIR, NJ 07042-3642
Phone number: 862-801-0974
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Mailing Address
Mr. ALEX SHAQUILLE THOMPSON LCSW, MSW
18-20 LACKAWANNA PLZ STE 200
MONTCLAIR, NJ 07042-3642
Phone number: 862-801-0974
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