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Individual
MRS. LINDSAY NICOLE DECICCO
Active
Individual
MRS. LINDSAY NICOLE DECICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05765200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05707900
NJ
Other
Enumeration date
06/04/2012
Last updated
02/06/2017
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