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1669961553
ELLYN ALFONSO
FAIR LAWN, NJ
NPI
1669961553
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Former Name
ELLYN ALEJAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00262300)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
-- ELLYN ALFONSO MA, LAC
17-07 ROMAINE ST
FAIR LAWN, NJ 07410-2150
Phone number: 201-797-2660
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Mailing Address
-- ELLYN ALFONSO MA, LAC
54 CLIFTON BLVD
CLIFTON, NJ 07011-3814
Phone number:
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