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Organization

JANICE VICTOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANICE MARIE VICTOR LCSW (PROVIDER)
(973) 744-3550
Entity
Organization

Contact information

Practice address
248 LORRAINE AVE, SUITE#3, MONTCLAIR, NJ 07043-1454
(862) 368-2670
(973) 744-3550
Mailing address
248 LORRAINE AVE, SUITE#3, MONTCLAIR, NJ 07043-1454
(862) 368-2670
(973) 744-3550

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
44SC00148700
NJ

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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