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1902623903
IRINA IVANOVA
FAIR LAWN, NJ
NPI
1902623903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sl07127800)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
IRINA IVANOVA
13-20 RIVER RD # R
FAIR LAWN, NJ 07410-1847
Phone number: 201-466-2725
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Mailing Address
IRINA IVANOVA
13-20 RIVER RD # R
FAIR LAWN, NJ 07410-1847
Phone number:
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