Individual
DAVID C DIMOPLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641
(609) 754-9324
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004654A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537247
ANTHEM BCBS
IN
05
—
100073590
—
IN
Enumeration date
12/06/2006
Last updated
05/16/2018
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