Individual
STACEY ANN WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARKVILLE RD, WEST DEPTFORD, NJ 08096-6334
(856) 304-7750
Mailing address
100 PARKVILLE RD, WEST DEPTFORD, NJ 08096-6334
(856) 304-7750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05293100
NJ
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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