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Individual

EILEEN ANN ORTIGA CARMONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 W PASSAIC ST, MAYWOOD, NJ 07607-1264
(201) 817-5747
Mailing address
20 VAN RIPER AVE FL 1, CLIFTON, NJ 07011-1324
(973) 931-1314

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05858600
NJ

Other

Enumeration date
05/31/2019
Last updated
07/28/2020
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