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1659941391
ELLEN KOEHLER
NUTLEY, NJ
NPI
1659941391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05446800)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
ELLEN KOEHLER
126 CONOVER AVE
NUTLEY, NJ 07110-3398
Phone number: 201-349-3804
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Mailing Address
ELLEN KOEHLER
126 CONOVER AVE
NUTLEY, NJ 07110-3398
Phone number:
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