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Individual
MATT E. WHALEY
Active
Individual
MATT E. WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05285900
NJ
1041C0700X
Clinical Social Worker
Primary
R051663-1
NY
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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