Organization
INTRAPERSONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE COLUCCI LEBBAD LCSW (OWNER / COUNSELOR)
(908) 350-3457
Entity
Organization
Contact information
Practice address
73 W END AVE, SOMERVILLE, NJ 08876-1828
(908) 963-7645
Mailing address
112 ALEXANDRIA WAY, BASKING RIDGE, NJ 07920-2763
(908) 350-3457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05364700
NJ
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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