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Individual

MRS. IVELISE VELEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
560 HUDSON ST, 3-2, HACKENSACK, NJ 07601-6655
(201) 208-8089
Mailing address
582 HUDSON ST, HACKENSACK, NJ 07601-6608
(201) 208-8089

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05537500
NJ

Other

Enumeration date
03/27/2013
Last updated
03/27/2013
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