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Organization
PATHWAYS FOR ENHANCED LIVING, LLC
Active
Organization
PATHWAYS FOR ENHANCED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLYNN R. WISEMAN LCSW (PRESIDENT)
(201) 445-3307
Entity
Organization
Contact information
Practice address
169 DAYTON ST, RIDGEWOOD, NJ 07450-4407
(201) 445-3307
Mailing address
169 DAYTON ST, RIDGEWOOD, NJ 07450-4407
(201) 445-3307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04507100
NJ
Other
Enumeration date
04/05/2007
Last updated
07/16/2012
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