Individual
NICOLE POTENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 CORPORATE DR STE 510, MAHWAH, NJ 07430-2330
(201) 824-7600
Mailing address
575 CORPORATE DR STE 510, MAHWAH, NJ 07430-2330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07148800
NJ
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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