VALERY EUGENE FRADKOV

FAIR LAWN, NJ
NPI1841427663
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05391100)
Enumeration Date2009-06-19
Last Update Date2009-08-10
Business Address
-- VALERY EUGENE FRADKOV LCSW
3100 BROADWAY
FAIR LAWN, NJ 07410-3963
Phone number: 917-582-1683
Mailing Address
-- VALERY EUGENE FRADKOV LCSW
101 CHESTNUT ST
DUMONT, NJ 07628-3214
Phone number: 917-582-1683