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Individual

MARIA AFORDAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LPC

Contact information

Practice address
409 N MAIN ST, GLASSBORO, NJ 08028-1633
(856) 589-3420
Mailing address
409 N MAIN ST, GLASSBORO, NJ 08028-1633
(856) 589-3420

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00839300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37PC00839300
LICENSE
NJ
Enumeration date
06/07/2022
Last updated
06/07/2022
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