Individual
MS. AGNESS MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
153 KNOLLCROFT RD, LYONS, NJ 07939-5001
(973) 676-1000
Mailing address
153 KNOLLCROFT RD, LYONS, NJ 07939-5001
(973) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05925800
NJ
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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