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Individual
KRISTEN E DELVENTHAL
Active
Individual
KRISTEN E DELVENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05997000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05725100
NJ
Other
Enumeration date
09/08/2016
Last updated
03/19/2023
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