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Organization
NJ FAMILY SUPPORT
Active
Organization
NJ FAMILY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRLAINE BICHOTTE (OWNER)
(864) 367-5905
Entity
Organization
Contact information
Practice address
121 4TH AVE, EAST ORANGE, NJ 07017-4816
(864) 367-5905
Mailing address
121 4TH AVE, EAST ORANGE, NJ 07017-4816
(864) 367-5905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
163WC0400X
NJ
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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