Individual
SUSAN DEPONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 CHESTNUT ST, LUMBERTON, NJ 08048-1134
(609) 518-5470
Mailing address
770 WOODLANE ROAD, MT. HOLLY, NJ 08060
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05166400
NJ
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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