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1689414476
HEATHER LISA ILCONICH
MARLTON, NJ
NPI
1689414476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05275300)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
Mrs. HEATHER LISA ILCONICH LCSW
30 S MAPLE AVE
MARLTON, NJ 08053-2002
Phone number: 917-647-2530
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Mailing Address
Mrs. HEATHER LISA ILCONICH LCSW
110 MOUNTAINVIEW RD
MOUNT LAUREL, NJ 08054-4729
Phone number: 609-410-0865
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