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1134643307
ELEONORA TAVELLA
EAST BRUNSWICK, NJ
NPI
1134643307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00325200)
Enumeration Date
2017-07-31
Last Update Date
2017-07-31
Business Address
ELEONORA TAVELLA NCC, LAC
15 W PROSPECT ST
EAST BRUNSWICK, NJ 08816-2161
Phone number: 732-254-0600
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Mailing Address
ELEONORA TAVELLA NCC, LAC
41 COLUMBIA AVE
COLONIA, NJ 07067-2805
Phone number:
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