| Maryellen Walsh, Lcsw Llc | |
|
138 E Revere Ave Northfield NJ 08225-2438 | |
| (609) 703-6318 | |
| Not Available |
| Full Name | Maryellen Walsh, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 138 E Revere Ave, Northfield, New Jersey |
| Authorized Official Name and Position | Maryellen Walsh (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6097036318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryellen Walsh, Lcsw Llc 138 E Revere Ave Northfield NJ 08225-2438 Ph: (609) 703-6318 | Maryellen Walsh, Lcsw Llc 138 E Revere Ave Northfield NJ 08225-2438 Ph: (609) 703-6318 |
| NPI Number | 1518422559 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518422559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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