Individual
MISS MICHELLE D REYES-VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
16 EMERSON ST STE 4, EAST BRUNSWICK, NJ 08816-4400
(732) 419-8103
Mailing address
16 EMERSON ST STE 4, EAST BRUNSWICK, NJ 08816-4400
(732) 419-8103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06688900
NJ
Other
Enumeration date
03/23/2020
Last updated
08/20/2021
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