Individual
ELLEN MARY DELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
88 SCHOOLHOUSE RD, WHITING, NJ 08759-3051
(732) 350-2120
Mailing address
75 BROWER DR, BRICK, NJ 08723-5801
(732) 477-4687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04630700
NJ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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