Individual
GINAMARIE MIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DURHAM AVE, EDISON, NJ 08817-2347
(732) 910-9114
Mailing address
420 DURHAM AVE, EDISON, NJ 08817-2347
(732) 910-9114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00918900
NJ
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/05/2018
Last updated
02/23/2024
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