Individual
EVELYN AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 20TH AVE APT F5, PATERSON, NJ 07501-3713
(862) 591-2743
Mailing address
195 20TH AVE APT F5, PATERSON, NJ 07501-3713
(862) 591-2743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW00933200
NJ
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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