Individual
MISS MICHELE WALICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
271 ROUTE 46 W STE 201, FAIRFIELD, NJ 07004-2440
(732) 561-8555
Mailing address
162 WOOTTON ST, BOONTON, NJ 07005-2244
(201) 240-1859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06681500
NJ
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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