Maryellen Louise Walkowich LCSW

NPI 1669655320 - Counselor - 101YM0800X

NPI Details
NPI 1669655320
Gender Female
Enumeration Date 12/17/2007
Last Updated 12/17/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
130 POWERVILLE RD
BOONTON NJ, 07005-8705, US
Phone (973) 317-1978
Fax (973) 299-5466
Business Location
130 POWERVILLE RD
BOONTON NJ, 07005-8705, US
Phone (973) 317-1978
Fax (973) 299-5466
Toxanomy
Taxonomy Code 101YM0800X
License State New Jersey
License Number 44SCOO29OOOO
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According to our database, Ms. Maryellen Louise Walkowich LCSW NPI is 1669655320, taxonomy code is 101YM0800X and license number is 44SCOO29OOOO, license state is located at New Jersey. Maryellen Louise Walkowich LCSW physically located at 130 Powerville Rd, Boonton NJ, 07005-8705. NPI Number Maryellen Louise Walkowich LCSW has the Individual type.

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1669655320 NPI number is provided on an as is basis without warranty of any kind. 1669655320 is maintained by the National Plan & Provider Enumeration System. The contents of Maryellen Louise Walkowich LCSW are for informational purposes only.