Donna Marie Ciccone, LCSW

NPI #1033241625 in Montclair, New Jersey

Provider Information

NPI Number: 1033241625
Entity Type: Individual
Name: Donna Marie Ciccone, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11 S FULLERTON AVE
City: Montclair
State: New Jersey
ZIP Code: 07042-6304
Phone: (973) 744-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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