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Organization
WHITE OWL WELLNESS LLC
Active
Organization
WHITE OWL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LEIGH IPPOLITO (OWNER)
(973) 214-1160
Entity
Organization
Contact information
Practice address
151 ROUTE 10 STE 106, SUCCASUNNA, NJ 07876-1452
(973) 214-1160
Mailing address
12 KNOLLWOOD RD, FLANDERS, NJ 07836-9306
(973) 214-1160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
02/19/2020
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