Individual
SCOTT LANDON WOLSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1085 ANNA ST, TEANECK, NJ 07666-4806
(216) 200-9895
Mailing address
1085 ANNA ST, TEANECK, NJ 07666-4806
(216) 200-9895
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06940800
NJ
104100000X
Social Worker
44SW05411700
NJ
Other
Enumeration date
10/28/2021
Last updated
05/30/2024
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