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1932782133
MARK L COLONNA
HOLMDEL, NJ
NPI
1932782133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05260300)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
MARK L COLONNA LCSW
9 SWEET BRIAR LN
HOLMDEL, NJ 07733-2111
Phone number: 732-673-1787
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Mailing Address
MARK L COLONNA LCSW
9 SWEET BRIAR LN
HOLMDEL, NJ 07733-2111
Phone number: 732-673-1787
Copy
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