Individual
EDLIRA GORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
291 GARIBALDI AVE APT 20, LODI, NJ 07644-3729
(973) 689-4691
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06263200
NJ
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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