Individual
NICOLE SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
437 1ST ST, MIDDLESEX, NJ 08846-1501
(732) 690-3295
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05914300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
02/23/2018
Last updated
11/06/2024
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