Individual
INGRID VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
27 ARK RD, MEDFORD, NJ 08055-4005
(732) 712-0375
Mailing address
27 ARK RD, MEDFORD, NJ 08055-4005
(732) 712-0375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06145800
NJ
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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