Individual
NICOLE MENDICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
265 HACKENSACK ST, WOOD RIDGE, NJ 07075-1253
(973) 671-3048
Mailing address
4 DYLAN CT, NANUET, NY 10954-3818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104557-1
NY
104100000X
Social Worker
Primary
44SL06426000
NJ
Other
Enumeration date
10/16/2018
Last updated
05/02/2023
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