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Individual

JILL MIRLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
122 HIGH ST, PASSAIC, NJ 07055-4753
(973) 930-1770
Mailing address
122 HIGH ST, PASSAIC, NJ 07055-4753
(973) 930-1770

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
026273
NY
103TC0700X
Clinical Psychologist
Primary
35S100704700
NJ

Other

Enumeration date
10/11/2020
Last updated
02/10/2024
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