Individual
LAUREN ASHLEY NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
65 MECHANIC ST STE 203, RED BANK, NJ 07701-1852
(732) 785-4715
Mailing address
34 BROADMOOR DR, LINCROFT, NJ 07738-1208
(732) 533-3110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06961800
NJ
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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