Individual
DIEGO NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6112 DURHAM AVE, NORTH BERGEN, NJ 07047
(201) 621-2595
Mailing address
6112 DURHAM AVE, NORTH BERGEN, NJ 07047-3410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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