NIKITA FONAREV

WEST ORANGE, NJ
NPI1811661242
Professional NameNICK FONAREV
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC06438400)
Enumeration Date2021-08-09
Last Update Date2025-03-12
Business Address
NIKITA FONAREV
20 RANDOLPH PL STE A
WEST ORANGE, NJ 07052-4808
Phone number: 347-668-0107
Mailing Address
NIKITA FONAREV
20 RANDOLPH PL STE A
WEST ORANGE, NJ 07052-4808
Phone number: 347-668-0107
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