Provider First Line Business Practice Location Address:
18 MOHAWK AVE
Provider Second Line Business Practice Location Address:
SPARTA TOWNSHIP BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
SPARTA
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07871-1809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-729-2155
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006