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1104560473
YSAURA VANESSA FERNANDEZ
ROCKAWAY, NJ
NPI
1104560473
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Former Name
YSAURA VANESSA RIVERA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SL05852800)
Enumeration Date
2022-04-23
Last Update Date
2022-04-23
Business Address
Ms. YSAURA VANESSA FERNANDEZ
40 VANDERHOOF AVE
ROCKAWAY, NJ 07866-3138
Phone number: 973-586-5243
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Mailing Address
Ms. YSAURA VANESSA FERNANDEZ
39 MCCLELLAN TER
WEST ORANGE, NJ 07052-4516
Phone number: 862-324-3359
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