Individual
MATTHEW NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
65 N MAPLE AVE STE 202, RIDGEWOOD, NJ 07450-3233
(201) 995-7578
Mailing address
446 MADISON AVE APT 2B, NEW MILFORD, NJ 07646-1371
(201) 819-9785
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07000400
NJ
Other
Enumeration date
08/03/2023
Last updated
08/10/2023
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