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Organization
KATHRYN A MEMOLI LCSW
Active
Organization
KATHRYN A MEMOLI LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN A MEMOLI LCSW (OWNER)
(732) 986-2880
Entity
Organization
Contact information
Practice address
1924 ROUTE 35, SUITE 9B, WALL TOWNSHIP, NJ 07719-3530
(732) 986-2880
Mailing address
1924 ROUTE 35, SUITE 9B, WALL TOWNSHIP, NJ 07719-3530
(732) 986-2880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00397000
NJ
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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