Waller, Stacey

Waller, Stacey is an individual health care provider with primary practice located at 116 W Broad St , Burlington City NJ 08016-1410. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Waller, Stacey can be contacted via phone (609) 386-0650.

Contact Information

Primary practice address
116 W Broad St Burlington City NJ 08016-1410
Phone: (609) 386-0650
Fax: (609) 386-0652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05147700 New Jersey

Profile Details

NPI number 1730581349
LBN Legal business name Waller, Stacey
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2014
Last updated Sep 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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