Individual
MR. EMMANUEL ALCANTARA ESTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
114 DELAWARE AVE., BURLINGTON, NJ 08016
(609) 386-8653
(609) 386-3153
Mailing address
86 POCAHONTAS TRAIL, MEDFORD LAKES, NJ 08055
(609) 953-3326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05276700
NJ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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