Individual
MRS. NANCY A FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
0058 MORLOT AVE, FAIR LAWN, NJ 07410-1041
(201) 349-0100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06185900
NJ
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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