Individual
MR. KEVIN NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2117 3RD AVE, TOMS RIVER, NJ 08757-3610
(908) 783-8778
Mailing address
2117 3RD AVE, TOMS RIVER, NJ 08757-3610
(908) 783-8778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05153000
NJ
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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