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1295275212
NICOLE BETHAVAS
CLARK, NJ
NPI
1295275212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SL06251800)
Enumeration Date
2017-02-24
Last Update Date
2024-02-20
Business Address
NICOLE BETHAVAS
68 SAINT GERMAIN DR
CLARK, NJ 07066-2628
Phone number: 848-467-0248
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Mailing Address
NICOLE BETHAVAS
68 SAINT GERMAIN DR
CLARK, NJ 07066-2628
Phone number:
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