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Individual

MS. LISA ANN CLOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 566-7054
Mailing address
401 HANNIBAL ST, TOMS RIVER, NJ 08757-3526
(732) 244-9033

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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