Individual
MRS. KELLY M SECCAMANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MOUNTAIN BOULEVARD, EXECUTIVE PLAZA SUITE 201, WARREN, NJ 07059
(908) 507-0455
(908) 580-9745
Mailing address
78 BAKER AVE, BERKELEY HTS, NJ 07922-1302
(908) 507-0455
(908) 580-9745
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
14392
FL
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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