Nicole E. Grace, LCSW, PSYA
NPI #1164526620 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1164526620
- Entity Type
- Individual
- Name
- Nicole E. Grace, LCSW, PSYA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, PSYA
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Mar 2, 2012
Practice Location
- Address
- 14-25 PLAZA RD
- Address 2
- SUITE N 2-4
- City
- Fair Lawn
- State
- New Jersey
- ZIP Code
- 07410-3546
- Phone
- (201) 803-9193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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