Individual
MARY ELLEN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 RTE 46, DENVILLE, NJ 07834-2744
(201) 306-8702
Mailing address
72 AGAWAM DR, WAYNE, NJ 07470-2060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3781
NJ
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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