Individual
EVELYN FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
211 BRIGHTON AVE, APT 2, KEARNY, NJ 07032-2134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05949200
NJ
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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