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Individual

NICHELLE SERRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615 HOPE ROAD, BLD 3B, EATONTOWN, NJ 07724
(732) 724-1234
(732) 532-0801
Mailing address
615 HOPE ROAD, BLD 3B, EATONTOWN, NJ 07724
(732) 724-1234
(732) 532-0801

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06881800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0791199
NJ
Enumeration date
01/30/2023
Last updated
01/30/2023
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