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Individual
MAUREEN TIRELLA
Active
Individual
MAUREEN TIRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW,LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00291900
NJ
Other
Enumeration date
06/06/2019
Last updated
04/14/2024
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