Individual
MS. IRENE COLUCCI LEBBAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
71 4TH ST, SOMERVILLE, NJ 08876-3235
(908) 963-7645
Mailing address
112 ALEXANDRIA WAY, BASKING RIDGE, NJ 07920-2763
(908) 625-2237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05364700
NJ
Other
Enumeration date
02/07/2007
Last updated
03/16/2012
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