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1104414895
CHANILL MEDINA
PARAMUS, NJ
NPI
1104414895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2021-01-07
Last Update Date
2022-11-14
Business Address
CHANILL MEDINA
15 FARVIEW TER STE 1
PARAMUS, NJ 07652-2762
Phone number: 551-579-4441
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Mailing Address
CHANILL MEDINA
883 BOULEVARD APT A
NEW MILFORD, NJ 07646-2296
Phone number: 551-399-8555
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