Individual
EDELINE ELICIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 ORCHARD ST APT 1, BLOOMFIELD, NJ 07003-5104
(973) 687-9930
Mailing address
32 ORCHARD ST APT 1, BLOOMFIELD, NJ 07003-5104
(973) 687-9930
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
08/06/2024
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