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1902506751
CARLY MAE CLEARWATER
WAYNE, NJ
NPI
1902506751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: NJ 46TR00887900)
Enumeration Date
2023-03-08
Last Update Date
2023-03-08
Business Address
CARLY MAE CLEARWATER
1211 HAMBURG TPKE STE 224
WAYNE, NJ 07470-5056
Phone number: 973-800-8515
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Mailing Address
CARLY MAE CLEARWATER
424 CANISTEAR RD
STOCKHOLM, NJ 07460-1832
Phone number: 860-575-0428
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