Individual
NICOLE M STORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
610 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068-1537
(856) 271-4486
Mailing address
2020 BANNARD ST, CINNAMINSON, NJ 08077-1902
(609) 310-8189
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1000140
NJ
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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