Individual
CHRISTINA CICCOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-8000
Mailing address
19 PARK CIR, MOUNT EPHRAIM, NJ 08059-1066
(856) 816-4114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05894300
NJ
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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