License Detail

NameLEBLANC-VENTRESCO KIM J
AddressORADELLNJ
ProfessionLICENSED MASTER SOCIAL WORK
License No026571
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron12/31/81)
Additional Qualification
StatusNOT REGISTERED
Registered through last day of

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