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Individual

CARLEEN IMPLICITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
113 W ESSEX ST, SUITE 203, MAYWOOD, NJ 07607-1023
(201) 661-0595
Mailing address
231 WASHINGTON AVE, HILLSDALE, NJ 07642-2820
(201) 722-9476

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005668
NY
171100000X
Acupuncturist
Primary
25MZ00115500
NJ

Other

Enumeration date
03/02/2016
Last updated
03/02/2016
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