SUMMER B BRANCOCCIO

RIDGEWOOD, NJ
NPI1386993970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00183400)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- SUMMER B BRANCOCCIO LAC, LCADC
120 CHESTNUT STREET
RIDGEWOOD, NJ 07450
Phone number: 201-444-3550
Mailing Address
-- SUMMER B BRANCOCCIO LAC, LCADC
797 EDGEWOOD LANE
FORT LEE, NJ 07024
Phone number: 201-917-5493
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