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General NPI Number Information
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NPI Number | 1891605242
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Entity Type | Individual
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Provider Name | CARLIE JEAN VETRINI LSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 61 DAVIS AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-4401
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Country | US
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Telephone | 732-869-2784
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Fax |
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Provider Business Mailing Address
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Address Line | 321 GREEN TREE RD
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City | BRICK
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State | NJ
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Zip | 08724-3712
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Country | US
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Telephone | 732-814-5827
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07312400
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License Number State | NJ
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