Individual
JOAN KATHRYN WALPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 MIDLAND AVE, WYCKOFF, NJ 07481-3344
(201) 707-1796
Mailing address
70 MIDLAND AVE, WYCKOFF, NJ 07481-3344
(201) 707-1796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00454500
NJ
Other
Enumeration date
09/04/2012
Last updated
07/03/2013
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