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1063056802
KELLY WALSH
RIDGEWOOD, NJ
NPI
1063056802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06505100)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
KELLY WALSH LSW
120 CHESTNUT ST
RIDGEWOOD, NJ 07450-2504
Phone number: 201-444-3550
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Mailing Address
KELLY WALSH LSW
11 HIGH ST APT 3R
NUTLEY, NJ 07110-1166
Phone number: 201-398-3038
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