Individual
CHRISTINE MARIE ANTONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
2400 MCCLELLAN AVE, SUITE 101 EAST, PENNSAUKEN, NJ 08109-4609
(856) 488-9595
Mailing address
2400 MCCLELLAN AVE, SUITE 101 EAST, PENNSAUKEN, NJ 08109-4609
(856) 488-9595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01019700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094676
—
NJ
Enumeration date
10/01/2008
Last updated
10/01/2008
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