Individual
MRS. KOURTNEY JEANNE IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
501 HOGBIN RD, MILLVILLE, NJ 08332-5229
(609) 805-8089
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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