Individual
MS. EMILY TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FARVIEW TER, PARAMUS, NJ 07652-2761
(551) 579-4441
Mailing address
30 KNICKERBOCKER RD APT 14, DUMONT, NJ 07628-2634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00360000
NJ
104100000X
Social Worker
Primary
44SL07189500
NJ
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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