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Organization
NOUS KONPRAN LLC
Active
Organization
NOUS KONPRAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDELINE ELICIN LMFT (CEO/ EXECUTIVE DIRECTOR)
(973) 687-9930
Entity
Organization
Contact information
Practice address
32 ORCHARD ST APT 1, BLOOMFIELD, NJ 07003-5104
(973) 687-9930
Mailing address
32 ORCHARD ST APT 1, BLOOMFIELD, NJ 07003-5104
(973) 687-9930
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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