Provider Information for 1245495456
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NICOLE SAMANTHA DONATO LPC
Sex: Female
NPI: 1245495456
Last Updated: 2008-07-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1245495456 | ||||||||
| Enumeration Date | 2008-07-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2038 CARMEL RD MILLVILLE, NJ 08332-9754 United States Phone: 856-825-6810 | Fax: | ||||||||
| Primary Practice Address | 2038 CARMEL RD MILLVILLE, NJ 08332-9754 United States Phone: 856-825-6810 | Fax: | ||||||||
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