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1013564079
MARY ELLEN FASSNACHT
BUTLER, NJ
NPI
1013564079
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Entity Type
Organization
Authorized Contact
MARY ELLEN FASSNACHT
Owner/Provider
973-722-9831
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
MARY ELLEN FASSNACHT
1250 RTE 23
BUTLER, NJ 07405-2037
Phone number: 973-722-9831
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Mailing Address
MARY ELLEN FASSNACHT
317 GODWIN AVE
MIDLAND PARK, NJ 07432-1519
Phone number:
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