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Individual

NIKIE IWANCZUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
991 JEFFERSON ST, FALL RIVER, MA 02721-4834
(774) 930-6344
Mailing address
232 ARNOLD ST, NEW BEDFORD, MA 02740-3536
(774) 930-6344

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119445
MA

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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