Individual
MS. SANIETRA ECCKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
218A SUNSET RD, SCREENING, CRISIS, & INTERVENTION (SCIP), WILLINGBORO, NJ 08046-1110
(609) 835-6180
(609) 835-7962
Mailing address
2 HONEY LOCUST LN, MOUNT HOLLY, NJ 08060-4346
(609) 954-6326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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