Individual
NICOLE GIANNA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
7 GLENWOOD AVE STE 101, EAST ORANGE, NJ 07017-1041
(862) 438-7983
Mailing address
7 GLENWOOD AVE STE 101, EAST ORANGE, NJ 07017-1041
(862) 438-7983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06581300
NJ
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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