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Individual

PROF. CHARLES EHRLICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDS

Contact information

Practice address
822 5TH AVE, RIVER EDGE, NJ 07661-1512
(201) 967-1436
Mailing address
822 5TH AVE, RIVER EDGE, NJ 07661-1512
(201) 967-1436

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0470728
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0470728
BUSINESS REGISTRATION CERTIFICATE
NJ
Enumeration date
09/15/2015
Last updated
09/15/2015
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