Individual
MAILEN AYELEN PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
135 COLUMBIA TPKE STE 303, FLORHAM PARK, NJ 07932-2189
(973) 229-3570
Mailing address
187 MAPLEWOOD AVE APT 5B, MAPLEWOOD, NJ 07040-2504
(484) 354-9065
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00184000
NJ
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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