Virginia Connelly, Lcsw, Llc | |
89 W Ridgewood Ave Ridgewood NJ 07450-3142 | |
(201) 300-6425 | |
Not Available |
Full Name | Virginia Connelly, Lcsw, Llc |
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Speciality | Social Worker - Clinical |
Location | 89 W Ridgewood Ave, Ridgewood, New Jersey |
Authorized Official Name and Position | Virginia Mickolajczyk (OWNER) |
Authorized Official Contact | 2013006425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Virginia Connelly, Lcsw, Llc 0014 Whitehall St Fair Lawn NJ 07410-2913 Ph: (201) 300-6425 | Virginia Connelly, Lcsw, Llc 89 W Ridgewood Ave Ridgewood NJ 07450-3142 Ph: (201) 300-6425 |
NPI Number | 1730406372 |
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Provider Enumeration Date | 04/21/2010 |
Last Update Date | 04/21/2010 |
Identifier | Type | State | Issuer |
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1730406372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC00575100 (New Jersey) | Primary |
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