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1952654295
KIRK LAWRENCE THOMAS
SOUTH AMBOY, NJ
NPI
1952654295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-10-24
Last Update Date
2012-10-24
Business Address
KIRK LAWRENCE THOMAS
1 LOWER MAIN STREET
SOUTH AMBOY, NJ 08879-0785
Phone number: 732-727-2555
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Mailing Address
KIRK LAWRENCE THOMAS
1 LOWER MAIN STREET
SOUTH AMBOY, NJ 08879-0785
Phone number: 732-727-2555
Copy
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