Individual
MISS BIANCA MARIE NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 E LINDEN AVE APT 5B, ENGLEWOOD, NJ 07631-3698
(201) 316-3519
Mailing address
60 E LINDEN AVE APT 5B, ENGLEWOOD, NJ 07631-3698
(201) 316-3519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097848
NY
Other
Enumeration date
01/23/2020
Last updated
11/10/2024
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