Individual
MRS. DANIELLE LYNN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
31 NORTH MAIN ST, TOMS RIVER, NJ 08753
(908) 216-5825
Mailing address
17 TULIP LANE, FREEHOLD, NJ 07728
(609) 216-5825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05332900
NJ
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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