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Individual

ALBA J VIZCAINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
570 LEE STREET, RARITAN BAY MENTAL HEALTH CENTER, PERTH AMBOY, NJ 08861-0353
(732) 442-1666
Mailing address
570 LEE STREET, RARITAN BAY MENTAL HEALTH CENTER, PERTH AMBOY, NJ 08861-0353
(732) 442-1666

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05570600
NJ

Other

Enumeration date
02/18/2010
Last updated
02/18/2010
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