MARY ELLEN FASSNACHT

MIDLAND PARK, NJ
NPI1245703909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44sc05420600)
Enumeration Date2019-01-05
Last Update Date2019-01-05
Business Address
MARY ELLEN FASSNACHT LCSW
317 GODWIN AVE
MIDLAND PARK, NJ 07432-1519
Phone number: 973-722-9831
Mailing Address
MARY ELLEN FASSNACHT LCSW
4 RATHBUN RD
TOWACO, NJ 07082-1207
Phone number: