Individual
DANA LEIGH IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
151 ROUTE 10 STE 106, SUCCASUNNA, NJ 07876-1452
(973) 214-1160
Mailing address
12 KNOLLWOOD RD, FLANDERS, NJ 07836-9306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05224900
NJ
Other
Enumeration date
03/13/2007
Last updated
02/19/2020
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