Individual
BLANCA DOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1129 KENNEDY BLVD, NORTH BERGEN, NJ 07047-1872
(973) 289-4633
(201) 653-0750
Mailing address
1129 KENNEDY BLVD, NORTH BERGEN, NJ 07047-1872
(973) 289-4633
(201) 653-0750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SWO5328900
NJ
173C00000X
Reflexologist
18KT00609400
NJ
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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