Provider First Line Business Practice Location Address:
223 BLOOMFIELD STREET
Provider Second Line Business Practice Location Address:
SUITE 116 RAUL A. PLASENCIA LCSW
Provider Business Practice Location Address City Name:
HOBOKEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07030-4747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-600-3562
Provider Business Practice Location Address Fax Number:
201-662-1917
Provider Enumeration Date:
04/30/2009