Individual
DOROTHY MARIE BROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW,CBT,BCD
Contact information
Practice address
1600 LIBERTY PLACE, STE. 2, LAKEVIEW BUSINESS PARK, SICKLERVILLE, NJ 08081
(856) 979-9060
(856) 302-3068
Mailing address
217 CHERRYWOOD DR, LAUREL SPRINGS, NJ 08021-5605
(856) 566-0248
(856) 566-0248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00162600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
398500
VALUE OPTIONS
NJ
Enumeration date
12/05/2006
Last updated
09/03/2014
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