MRS. Peggy Ilona Waller, LCSW, LCADC
NPI #1821369562 in Mendham, New Jersey
Provider Information
- NPI Number
- 1821369562
- Entity Type
- Individual
- Name
- MRS. Peggy Ilona Waller, LCSW, LCADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, LCADC
- Enumeration Date
- Jan 25, 2012
- Last Updated
- Jan 25, 2012
Practice Location
- Address
- 80 W MAIN ST
- City
- Mendham
- State
- New Jersey
- ZIP Code
- 07945-1257
- Phone
- (973) 543-5656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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