Individual
ESTHER PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 EVERGREEN PLACE, EAST ORANGE, NJ 07018
(201) 699-2105
Mailing address
659 LINDEN AVE, RIDGEFIELD, NJ 07657-1204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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