Individual
ELLEN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 CONOVER AVE, NUTLEY, NJ 07110-3398
(201) 349-3804
Mailing address
126 CONOVER AVE, NUTLEY, NJ 07110-3398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05446800
NJ
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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