Mary Ellen Fassnacht

NPI #1013564079 in Butler, New Jersey

Provider Information

NPI Number: 1013564079
Entity Type: Organization
Organization Name: Mary Ellen Fassnacht
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 23, 2019
Last Updated: Aug 23, 2019

Practice Location

Address: 1250 RTE 23
City: Butler
State: New Jersey
ZIP Code: 07405-2037
Phone: (973) 722-9831

Authorized Official

Name: MARY ELLEN FASSNACHT
Title: OWNER/PROVIDER
Phone: (973) 722-9831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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