Individual
CYNTHIA ELIZABETH DEFELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL0554760
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL05547600
LICENSED SOCIAL WORKER
NJ
Enumeration date
02/29/2016
Last updated
02/29/2016
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