Individual
DIANE SACCOCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
305 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3139
(410) 535-4787
(410) 535-4965
Mailing address
2516 COXSHIRE LN, DAVIDSONVILLE, MD 21035-1153
(301) 535-2837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16961
MD
Other
Enumeration date
05/31/2011
Last updated
01/28/2015
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