NICOLE M KISSAM

LAKEWOOD, NJ
NPI1689143208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NJ  44SL06062900)
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
Mrs. NICOLE M KISSAM LSW
600 RIVER AVE
LAKEWOOD, NJ 08701-5237
Phone number: 731-914-1688
Mailing Address
Mrs. NICOLE M KISSAM LSW
600 RIVER AVE
LAKEWOOD, NJ 08701-5237
Phone number: 731-914-1688