Individual
ELLENIE K TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 CEDAR LN STE 3B, TEANECK, NJ 07666-3441
(201) 541-8600
Mailing address
435 WASHINGTON AVE, RUTHERFORD, NJ 07070-1313
(201) 488-4864
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SSN
HORIZON BLUECROSS BLUESHIELD
NJ
Enumeration date
09/22/2020
Last updated
09/22/2020
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