Provider Information for 1609250307
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Mr. JORGE LUIS ABREU M.S.W., L.C.S.W.
Sex: Male
NPI: 1609250307
Last Updated: 2015-07-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1609250307 | ||||||||||||
| Enumeration Date | 2015-07-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 125 HOLLAND AVE NEW MILFORD, NJ 07646-2908 United States Phone: 347-234-4016 | Fax: | ||||||||||||
| Primary Practice Address | 125 HOLLAND AVE NEW MILFORD, NJ 07646-2908 United States Phone: 347-234-4016 | Fax: | ||||||||||||
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