Individual
MRS. NICOLE KRIES-WYSZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
129 REGINA AVE, HAMILTON, NJ 08619-2203
(732) 674-7025
Mailing address
129 REGINA AVE, HAMILTON, NJ 08619-2203
(732) 674-7025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
44SL05838400
NJ
104100000X
Social Worker
Primary
44SL05838400
NJ
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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