Individual
DELIZIA PANNULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36 NEWARK AVE, SUITE 320, BELLEVILLE, NJ 07109-4119
(908) 217-8997
Mailing address
12 TIVED LANE, EDISON, NJ 08837-3004
(908) 217-8997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00449800
NJ
Other
Enumeration date
07/06/2007
Last updated
04/10/2015
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