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MR. GENESIS URENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 956-6363
Mailing address
245 AZALEA DR, NEW MILFORD, NJ 07646-2530
(646) 481-4485

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
107263-01
NY
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
095527
NY

Other

Enumeration date
07/16/2019
Last updated
10/03/2023
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