Individual
ERICA DONNEA GREEN-FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 ALDENE RD, ROSELLE, NJ 07203-1852
(609) 505-1818
Mailing address
418 ALDENE RD, ROSELLE, NJ 07203-1852
(609) 505-1818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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