Individual
MRS. MARY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05771800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9083970376
—
NJ
Enumeration date
02/27/2019
Last updated
02/27/2019
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