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Individual

NICHOLAS RISSONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
704 6TH AVE APT 2, ASBURY PARK, NJ 07712-5380
(585) 200-9583
Mailing address
704 6TH AVE APT 2, ASBURY PARK, NJ 07712-5380
(585) 200-9583

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06970900
NJ

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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