Melissa Wish, LSW

NPI #1457817355 in Montclair, New Jersey

Provider Information

NPI Number: 1457817355
Entity Type: Individual
Name: Melissa Wish, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Feb 15, 2019
Last Updated: Feb 15, 2019

Practice Location

Address: 208 GATES AVE
City: Montclair
State: New Jersey
ZIP Code: 07042-1743
Phone: (917) 748-7104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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