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1386030450
ILSE M GOMEZ-AVILA
FORT LEE, NJ
NPI
1386030450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 730818835)
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
ILSE M GOMEZ-AVILA LCSW
1450 WESTGATE DR
FORT LEE, NJ 07024-2171
Phone number: 646-246-7354
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Mailing Address
ILSE M GOMEZ-AVILA LCSW
1450 WESTGATE DR
FORT LEE, NJ 07024-2171
Phone number: 646-246-7354
Copy
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