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Individual

DANIELLE DECEMBRINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LCADC, CCS

Contact information

Practice address
200 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1092
(856) 316-9219
Mailing address
47 NEW JERSEY AVE, SEWELL, NJ 08080-1019
(609) 970-7460

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC0030100
NJ
1041C0700X
Clinical Social Worker
44SL06919900
NJ

Other

Enumeration date
06/28/2023
Last updated
06/10/2025
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