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Individual

AJIBOLA G ALLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCADC, CCS, ICADC

Contact information

Practice address
15 HAUSMANN CT FL 1, MAPLEWOOD, NJ 07040
(973) 380-9030
Mailing address
15 HAUSMANN CT FL 1, MAPLEWOOD, NJ 07040-3006
(973) 380-9030

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00133900
NJ

Other

Enumeration date
06/23/2018
Last updated
06/23/2018
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