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Individual

MR. MICHAEL RICHARD-HARDIN VISCIDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
337 WINDSOR CT, EWING, NJ 08638-1845
(856) 341-3084
Mailing address
337 WINDSOR CT, EWING, NJ 08638-1845
(856) 341-3084

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06767100
NJ

Other

Enumeration date
02/25/2022
Last updated
02/25/2022
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