Daferede, Colby

Daferede, Colby is an sole proprietor health care provider with primary practice located at 501 Iron Bridge Rd Suite 15, Freehold NJ 07728-5304. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Daferede, Colby can be contacted via phone (732) 866-8611.

Contact Information

Primary practice address
501 Iron Bridge Rd Suite 15 Freehold NJ 07728-5304
Fax: (732) 303-1221
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05883300 New Jersey

Profile Details

NPI number 1154725307
LBN Legal business name Daferede, Colby
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2014
Last updated Oct 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154725307 NPPES
New Jersey Other 44SL05883300 LICENSED SOCIAL WORKER

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