Individual
YANELLE NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1289 ROUTE 38, HAINESPORT, NJ 08036-2730
(215) 750-4000
Mailing address
711 EUGENIA DR, MEDFORD, NJ 08055-2312
(856) 562-5727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07425500
NJ
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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