| Dana Licsw Llc | |
|
19 Iowa Ave Absecon NJ 08201-2606 | |
| (484) 947-1071 | |
| Not Available |
| Full Name | Dana Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19 Iowa Ave, Absecon, New Jersey |
| Authorized Official Name and Position | Dana Belletiere (OWNER) |
| Authorized Official Contact | 4849471071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Licsw Llc 19 Iowa Ave Absecon NJ 08201-2606 Ph: () - | Dana Licsw Llc 19 Iowa Ave Absecon NJ 08201-2606 Ph: (484) 947-1071 |
| NPI Number | 1336840909 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336840909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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