Individual
MRS. CORINNE GINA PECILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 E QUACKENBUSH AVE, SUITE 200, DUMONT, NJ 07628-3055
(201) 602-7787
Mailing address
37 GLENWOOD DR N, BERGENFIELD, NJ 07621-3345
(201) 694-0618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05416600
NJ
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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