Individual
MS. DANIELLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
335 JOHNSON AVE, SAYVILLE, NY 11782-1143
(631) 589-8060
(631) 589-0908
Mailing address
335 JOHNSON AVE, SAYVILLE, NY 11782-1143
(631) 589-8060
(631) 589-0908
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
066369
NY
Other
Enumeration date
06/11/2007
Last updated
01/28/2009
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