Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 44SL06313200 | NJ |
NPI | 1003327263 |
---|---|
Provider Name | Clarice Pulcine |
First Address | Westampton, NJ 08060-3804 |
Second Address | Westampton, NJ 08060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2017 |
Last Update Date | 20/07/2018 |