Individual
NICOLE PURWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
79 OGLE RD, OLD TAPPAN, NJ 07675-7026
(201) 490-5158
Mailing address
79 OGLE RD, OLD TAPPAN, NJ 07675-7026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06146700
NJ
Other
Enumeration date
01/19/2016
Last updated
08/01/2023
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