Individual
MISS EVELYN AGYARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TERRACE AVE #1A, SAME, HASBROUCK HTS, NJ 07604
(197) 393-0354
Mailing address
124 HIGH ST, NEWTON, NJ 07860-1006
(973) 930-3545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-1655767.
—
NJ
Enumeration date
08/04/2021
Last updated
12/05/2022
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