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Individual
SULLY ANETTE SOTO
Active
Individual
SULLY ANETTE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06340300
NJ
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
09/30/2024
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