Individual
MRS. DORINDA MARY ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LPC
Contact information
Practice address
61 N MAPLE AVE, RIDGEWOOD, NJ 07450-3255
(201) 788-3773
Mailing address
44 MURRAY AVE, MAHWAH, NJ 07430-3027
(201) 891-5163
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00401900
NJ
163W00000X
Registered Nurse
26NR07181600
NJ
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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