Individual
DONNA CARR-DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 MEADOWYCK LN, SOUTHAMPTON, NJ 08088-9110
(609) 801-1503
Mailing address
511 MEADOWYCK LN, SOUTHAMPTON, NJ 08088-9110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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