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Individual

ELENA P PRIMOST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
39 TAMARACK CIR, SKILLMAN, NJ 08558-2019
(609) 436-0169
Mailing address
89 HIDDEN LAKE DR, NORTH BRUNSWICK, NJ 08902-1212
(732) 742-6716

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00567200
NJ
101YM0800X
Mental Health Counselor
Primary
37AC00567200
NJ
101YS0200X
School Counselor
37AC00567200
NJ

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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