Individual
MRS. COLBY DAFEREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
501 IRON BRIDGE RD, SUITE 15, FREEHOLD, NJ 07728-5304
(732) 866-8611
(732) 303-1221
Mailing address
501 IRON BRIDGE RD, SUITE 15, FREEHOLD, NJ 07728-5304
(732) 866-8611
(732) 303-1221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05883300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL05883300
LICENSED SOCIAL WORKER
NJ
Enumeration date
10/17/2014
Last updated
10/17/2014
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