Individual
MILAGROS PASTRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
615 N BROAD ST, ELIZABETH, NJ 07208-3409
(908) 035-5788
Mailing address
615 N BROAD ST, ELIZABETH, NJ 07208-3409
(908) 035-5788
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06701500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639294879
—
NJ
Enumeration date
02/22/2022
Last updated
02/22/2022
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