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Individual

MRS. FLORA MARTINS DEGEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
215 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1355
(917) 535-4461
Mailing address
55 JAMES ST, MORRISTOWN, NJ 07960-5945
(973) 538-2360

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05277200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P3639315
OXFORD HEATH PLANS
NJ
Enumeration date
05/03/2007
Last updated
09/18/2020
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