Individual
NICOLE BEREZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
395 S CENTER ST, ORANGE, NJ 07050-3205
(973) 675-3817
Mailing address
395 S CENTER ST, ORANGE, NJ 07050-3205
(973) 675-3817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05862800
NJ
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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