EDWARD S WALLACH

STATEN ISLAND, NY
NPI1003238205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R027293)
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
Mr. EDWARD S WALLACH LCSW, Ph.D.
673 STEWART AVENUE
STATEN ISLAND, NY 10314
Phone number: 718-698-1795
Mailing Address
Mr. EDWARD S WALLACH LCSW, Ph.D.
673 STEWART AVENUE
STATEN ISLAND, NY 10314
Phone number: 718-698-1795
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