Individual
EVELYN MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
294 MAGNOLIA AVE, JERSEY CITY, NJ 07306-3907
(201) 884-0871
Mailing address
294 MAGNOLIA AVE, JERSEY CITY, NJ 07306-3907
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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