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1093460735
TRAVELL NICKEY
TOMS RIVER, NJ
NPI
1093460735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00347900)
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
TRAVELL NICKEY LCADC
19 PINEVIEW DR
TOMS RIVER, NJ 08755-8026
Phone number: 848-223-0949
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Mailing Address
TRAVELL NICKEY LCADC
19 PINEVIEW DR
TOMS RIVER, NJ 08755-8026
Phone number: 848-223-0949
Copy
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