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Individual

CALLIE ANN BADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(201) 452-0860
(201) 391-6863
Mailing address
81 BLUEBERRY DR, WOODCLIFF LAKE, NJ 07677-8103
(201) 452-0860
(201) 391-6863

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098134
NY

Other

Enumeration date
08/30/2016
Last updated
08/30/2016
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