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Mr. Michael Joseph Vaillancourt, MSW,EDM
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1841409380

Michael Joseph Vaillancourt is a Student in an Organized Health Care Education/Training Program based in Franklin Park, NJ. Michael Joseph Vaillancourt practices in Hackensack, NJ and has the professional credentials of MSW,EDM. The NPI Number for Michael Joseph Vaillancourt is 1841409380 and holds a License No. 00425288 (New Jersey).

The current practice location address for Michael Joseph Vaillancourt is 385 Prospect Ave, Hackensack, NJ and can be reached out via phone at 201-487-1390.

Location: 385 Prospect Ave, Hackensack, NJ, 08823-1603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841409380
Provider Name
Michael Joseph Vaillancourt
Credential
MSW,EDM
Provider Entity Type
Individual
Gender
Male
Address
385 Prospect Ave, Hackensack, NJ, 08823-1603
Phone Number
201-487-1390
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
385 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-2570
Phone Number
201-487-1390
Fax Number
person
Provider Business Mailing Address Details
Address
385 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-2570
Phone Number
201-487-1390
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
00425288 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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