Nicole E. Grace, Lcsw, Psya, LLC
NPI #1801167085 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1801167085
- Entity Type
- Organization
- Organization Name
- Nicole E. Grace, Lcsw, Psya, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 20, 2012
- Last Updated
- Feb 15, 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
Authorized Official
- Name
- MS. NICOLE EDWARD GRACE, LCSW, PSYA
- Title
- OWNER
- Phone
- (201) 803-9193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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