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Organization
EDLIRA GORA
Active
Organization
EDLIRA GORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDLIRA GORA LSW (CLINICIAN)
(201) 797-2660
Entity
Organization
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 797-2660
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
44SL06263200
NJ
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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