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Individual

KELLY THERESA BOCCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NCC, LAC

Contact information

Practice address
79 N FRANKLIN TPKE STE 107, RAMSEY, NJ 07446-2029
(973) 477-5480
Mailing address
32 POWELL RD, ALLENDALE, NJ 07401-2011
(718) 619-5454

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00531400
NJ

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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