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Organization
NICOLE E. GRACE, LCSW, PSYA, LLC
Active
Organization
NICOLE E. GRACE, LCSW, PSYA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE EDWARD GRACE LCSW, PSYA (OWNER)
(201) 803-9193
Entity
Organization
Contact information
Practice address
14-25 PLAZA RD, SUITE N 2-4, FAIR LAWN, NJ 07410-3546
(201) 803-9193
Mailing address
14-25 PLAZA RD, SUITE N 2-4, FAIR LAWN, NJ 07410-3546
(201) 803-9193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
02/15/2012
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