Individual
ADAM WECKENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
4134 AVALON WAY, BLOOMINGDALE, NJ 07403-2241
(973) 602-9318
Mailing address
4134 AVALON WAY, BLOOMINGDALE, NJ 07403-2241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06543200
NJ
Other
Enumeration date
04/11/2021
Last updated
05/30/2021
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