Individual
MS. ELLA LYNK HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98 CHERRY LN, TEANECK, NJ 07666-4653
(201) 417-5940
Mailing address
98 CHERRY LN, TEANECK, NJ 07666
(201) 294-6528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06007600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417473562
—
NJ
01
—
XXXXXXXXXXXXX
XXXXXXXXXXXXXX
—
01
—
XXXXXXXXXXXXXXXXXXXX
PRIVATE INSURANCE
—
Enumeration date
08/21/2017
Last updated
10/11/2024
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