Individual
MRS. EMMANUELLA UJU EGEONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 EASTERN PKWY APT 10, IRVINGTON, NJ 07111-6714
(862) 888-5533
Mailing address
322 EASTERN PKWY APT 10, IRVINGTON, NJ 07111-6714
(862) 888-5533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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