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Nicholas Stafford, CPRS
NPI 1700594488 · on the registry since 2022 · sole proprietor
Practice
- Address
- 610 Pemberton Browns Mills Rd
Pemberton, NJ 08068 - Phone
- (609) 321-6269
- Fax
- (609) 283-0262
- Organisation at this address
- Maryville, Inc
Maryville, Inc
Legacy Treatment Services
Legacy Treatment Services
Union Assocation Of The Children'S Home Of Burlington County, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 324500000X
324500000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey