Individual
DANIELLE SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06096500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002970
—
NJ
01
—
6X5081
MEDICARE
NJ
Enumeration date
10/05/2023
Last updated
09/22/2024
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