Packanack Counseling Center | |
134 Chestnut Dr Wayne NJ 07470-5602 | |
(973) 696-4016 | |
(973) 696-4016 |
Full Name | Packanack Counseling Center |
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Speciality | Social Worker - Clinical |
Location | 134 Chestnut Dr, Wayne, New Jersey |
Authorized Official Name and Position | Miriam Judith Toonkel (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9736964016 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Packanack Counseling Center 134 Chestnut Dr Wayne NJ 07470-5602 Ph: (973) 696-4016 | Packanack Counseling Center 134 Chestnut Dr Wayne NJ 07470-5602 Ph: (973) 696-4016 |
NPI Number | 1427355973 |
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Provider Enumeration Date | 02/18/2011 |
Last Update Date | 02/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427355973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC00450800 (New Jersey) | Primary |
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