| Richard J. Lally, L.c.s.w., L.l.c. | |
|
40 Bloomfield Avenue Suite 5 Denville NJ 07834-5701 | |
| (973) 625-8479 | |
| (973) 625-8479 |
| Full Name | Richard J. Lally, L.c.s.w., L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Bloomfield Avenue, Denville, New Jersey |
| Authorized Official Name and Position | Richard Joseph Lally (OWNER) |
| Authorized Official Contact | 9736258479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Lally, L.c.s.w., L.l.c. 17 Player Pl Flanders NJ 07836-4714 Ph: (973) 252-0543 | Richard J. Lally, L.c.s.w., L.l.c. 40 Bloomfield Avenue Suite 5 Denville NJ 07834-5701 Ph: (973) 625-8479 |
| NPI Number | 1598827941 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598827941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04786300 (New Jersey) | Primary |
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