Individual
MARY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 PALISADE AVE, JERSEY CITY, NJ 07306
(201) 656-3116
(201) 656-9044
Mailing address
221 PALISADE AVE, PALISADE BEHAVIORAL CARE, JERSEY CITY, NJ 07306
(201) 656-3116
(201) 656-9044
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
44SC01019800
NJ
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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