Individual
DOMENICA MISHELL LOYOLA-MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W PASSAIC ST STE 115, ROCHELLE PARK, NJ 07662-3015
(201) 470-7864
Mailing address
46 VAN WINKLE AVE, GARFIELD, NJ 07026-3348
(973) 930-5561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07320900
NJ
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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