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1972383859
ALIDIS VICENTE
SPRINGFIELD, NJ
NPI
1972383859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06225800)
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
ALIDIS VICENTE LCSW
26 GARDEN OVAL
SPRINGFIELD, NJ 07081-1804
Phone number: 201-407-0651
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Mailing Address
ALIDIS VICENTE LCSW
26 GARDEN OVAL
SPRINGFIELD, NJ 07081-1804
Phone number: 201-407-0651
Copy
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