Individual
MRS. DELIA LORRAINE BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4205
(856) 575-4972
Mailing address
29 MEADOWBROOK DR, WESTAMPTON, NJ 08060-5441
(609) 724-6156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NJ
Other
Enumeration date
12/12/2019
Last updated
11/27/2023
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