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1912751454
SHARMANIKE LASHANN OUTLAW
NEWARK, NJ
NPI
1912751454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
SHARMANIKE LASHANN OUTLAW BS
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1404
Phone number: 973-596-2850
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Mailing Address
SHARMANIKE LASHANN OUTLAW BS
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1404
Phone number: 973-596-2850
Copy
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