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1710638655
SONIA ILLESCAS
WEST ORANGE, NJ
NPI
1710638655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05735900)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
SONIA ILLESCAS LCSW
659 EAGLE ROCK AVE STE 4
WEST ORANGE, NJ 07052-2138
Phone number: 855-274-3395
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Mailing Address
SONIA ILLESCAS LCSW
659 EAGLE ROCK AVE STE 4
WEST ORANGE, NJ 07052-2138
Phone number:
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