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Individual

MRS. MARISOL VICENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(844) 422-3632
Mailing address
268 MULLICA HILL RD, MULLICA HILL, NJ 08062-2660
(856) 885-3060

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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