Organization
DIANE SACCOCCIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SACCOCCIO LCSW-C (OWNER)
(301) 535-2837
Entity
Organization
Contact information
Practice address
645 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(410) 266-9370
Mailing address
2516 COXSHIRE LN, DAVIDSONVILLE, MD 21035-1153
(301) 535-2837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16961
MD
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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