Individual
MICHAEL PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
99 ARROWGATE DR, RANDOLPH, NJ 07869-5211
(973) 713-3090
Mailing address
17 SENIOR ST, NEW BRUNSWICK, NJ 08901-8534
(848) 932-7884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06101400
NJ
1041C0700X
Clinical Social Worker
44SC05818000
NJ
Other
Enumeration date
09/14/2015
Last updated
07/02/2019
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