Individual
MELANIE Y SUAREZ JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W 19TH ST APT 2R, BAYONNE, NJ 07002-1639
(201) 989-6987
Mailing address
121 W 19TH ST APT 2R, BAYONNE, NJ 07002-1639
(201) 989-6987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/22/2024
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