Individual
IVAN RENE ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6806 DURHAM AVE, NORTH BERGEN, NJ 07047-3727
(201) 496-0463
Mailing address
6806 DURHAM AVE, NORTH BERGEN, NJ 07047-3727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07037900
NJ
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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