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Organization
VITAMENTAL
Active
Organization
VITAMENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIACINTA TALARICO LCSW (LICENSE CLINICAL SOCIAL WORKER)
(856) 979-9780
Entity
Organization
Contact information
Practice address
274 MONTGOMERY ST, JERSEY CITY, NJ 07302-4091
(856) 979-9780
Mailing address
274 MONTGOMERY ST, JERSEY CITY, NJ 07302-4091
(856) 979-9780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/06/2023
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