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1912623729
LISA BLACK
MORRIS PLAINS, NJ
NPI
1912623729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37lc00339300)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
Ms. LISA BLACK LCADC
3000 NJ-10 WEST
MORRIS PLAINS, NJ 07950
Phone number: 973-944-1222
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Mailing Address
Ms. LISA BLACK LCADC
162 PARK AVE APT A3
EAST ORANGE, NJ 07017-5223
Phone number:
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