Individual
MARYELLEN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2113 WABASH AVE, LINWOOD, NJ 08221-1443
(609) 703-6318
Mailing address
2113 WABASH AVE, LINWOOD, NJ 08221-1443
(609) 703-6318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05205800
NJ
Other
Enumeration date
04/26/2012
Last updated
04/18/2016
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