Provider Information for 1932892676
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KRISTEL CALDERON LCSW
Sex: Female
NPI: 1932892676
Last Updated: 2023-05-30
Certification Date: 2023-05-30
Certification Date: 2023-05-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932892676 | ||||||||
| Enumeration Date | 2023-05-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 124 SPRINGFIELD RD LINDEN, NJ 07036-4832 United States Phone: 732-956-1080 | Fax: | ||||||||
| Primary Practice Address | 9 BASIN DR STE 190 KEARNY, NJ 07032-6521 United States Phone: 973-982-6278 | Fax: | ||||||||
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