Individual
NICOLE MARIE LADEGAARD-WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Mailing address
229 HIDDEN WOODS CT, PISCATAWAY, NJ 08854-3061
(732) 752-1069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05594500
NJ
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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