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Individual
NICHOLAS PELLIGRA
Active
Individual
NICHOLAS PELLIGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05895500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05895500
STATE LICENSE
NJ
Enumeration date
03/11/2020
Last updated
03/11/2020
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