Individual
SOPHIA AZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S HARRISON ST APT J7, EAST ORANGE, NJ 07018-1418
(201) 887-3045
Mailing address
265 S HARRISON ST APT J7, EAST ORANGE, NJ 07018-1418
(201) 887-3045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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