Provider Demographics
NPI:1033261219
Name:FRANCISCO, MILDRED C
Entity Type:Individual
Prefix:MS
First Name:MILDRED
Middle Name:C
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE 4175
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1266
Mailing Address - Country:US
Mailing Address - Phone:609-571-7427
Mailing Address - Fax:609-883-0329
Practice Address - Street 1:3525 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 4175
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1266
Practice Address - Country:US
Practice Address - Phone:609-571-7427
Practice Address - Fax:609-883-0329
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054081001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical