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Individual

DR. MICHELLE MARIE WANKMULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1605 JOHN ST STE 205B, FORT LEE, NJ 07024-2581
(917) 589-4939
Mailing address
1260 SLEEPY HOLLOW LN, SCOTCH PLAINS, NJ 07076-2230
(917) 589-4939

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00598800
NJ

Other

Enumeration date
02/01/2019
Last updated
02/01/2019
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