Individual
MRS. KAMLESH MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
192 MIDLAND AVE, GLEN RIDGE, NJ 07028
(973) 842-1137
Mailing address
192 MIDLAND AVE., GLEN RIDGE, NJ 07028
(973) 842-1137
(973) 748-5310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00001200
NJ
1041C0700X
Clinical Social Worker
44SW04829700
NJ
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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