Individual
PAOLA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8375
Mailing address
850 W GRAND ST APT M6, ELIZABETH, NJ 07202-1016
(908) 531-9063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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