Individual
DIANE L D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
651 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 386-0775
(609) 386-4372
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(609) 567-0200
(609) 567-1169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05599200
NJ
Other
Enumeration date
04/18/2019
Last updated
12/11/2019
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