Mary Ellen Fassnacht, LCSW
NPI #1245703909 in Midland Park, New Jersey
Provider Information
- NPI Number
- 1245703909
- Entity Type
- Individual
- Name
- Mary Ellen Fassnacht, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 5, 2019
- Last Updated
- Jan 5, 2019
Practice Location
- Address
- 317 GODWIN AVE
- City
- Midland Park
- State
- New Jersey
- ZIP Code
- 07432-1519
- Phone
- (973) 722-9831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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