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Organization

WILLOW BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY PUSCHEL (LCSW)
(609) 613-2226
Entity
Organization

Contact information

Practice address
136 FRANKLIN CORNER RD, UNIT B, SUITE 101, LAWRENCEVILLE, NJ 08648-2502
(609) 613-2226
Mailing address
PO BOX 236, HOLICONG, PA 18928-0236

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084N0600X
Clinical Neurophysiology Physician
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
05/19/2009
Last updated
06/01/2009
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