Individual
NICOLE RENEE HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 MAIN ST STE 340, WEST ORANGE, NJ 07052-5387
(845) 480-1261
Mailing address
1413 NOTTINGHILL LN, HAMILTON, NJ 08619-4016
(201) 429-5150
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
327370
NJ
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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