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Michelle Dorantes

Social Worker in Lakewood, NJ. Individual provider (NPI-1).

NPI number1144827759
StatusActive
Last updated in NPPESJun 21, 2021

Details

NPI
1144827759
Entity type
Individual (NPI-1)
Name
Michelle Dorantes
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 6, 2020
Certification date
Jun 21, 2021
Last updated
Jun 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker44SL06551800NJYes

Practice location

725 Airport Rd
Lakewood, NJ 08701-5968

Phone 732-367-8859

Mailing address

725 Airport Rd
Lakewood, NJ 08701

Phone 732-367-8859

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