Individual
AILEEN OK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 956-6363
Mailing address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 956-6363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00547300
NJ
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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