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1467338996
NICOLE LEE CLARK
COLTS NECK, NJ
NPI
1467338996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06530800)
Enumeration Date
2025-08-12
Last Update Date
2025-08-12
Business Address
NICOLE LEE CLARK LCSW
9 WARRENTON LN
COLTS NECK, NJ 07722-1065
Phone number: 917-932-4774
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Mailing Address
NICOLE LEE CLARK LCSW
9 WARRENTON LN
COLTS NECK, NJ 07722-1065
Phone number: 917-932-4774
Copy
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