Individual
LENA NAMKUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 WILMA ST, RIVER VALE, NJ 07675-5625
(201) 519-0728
Mailing address
601 WILMA ST, RIVER VALE, NJ 07675-5625
(201) 519-0728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103790-1
NY
104100000X
Social Worker
Primary
44SL063292400
NJ
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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