Individual
KANELLA EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 GODWIN AVE STE 300, MIDLAND PARK, NJ 07432-1463
(551) 319-2029
Mailing address
666 GODWIN AVE STE 300, MIDLAND PARK, NJ 07432-1463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07144800
NJ
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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