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1629100615
VIKKI RAIDER
RIDGEWOOD, NJ
NPI
1629100615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC04668800)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- VIKKI RAIDER LCSW
163 DAYTON ST
RIDGEWOOD, NJ 07450-4407
Phone number: 201-445-3636
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Mailing Address
-- VIKKI RAIDER LCSW
52 WHALEBACK TER
RINGWOOD, NJ 07456-2914
Phone number:
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