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1942044276
MARY ELLEN LODGE
SEWELL, NJ
NPI
1942044276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ15091600)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
MARY ELLEN LODGE APN, PMHNP-BC
36 APPLETREE LN
SEWELL, NJ 08080-3022
Phone number: 856-373-2583
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Mailing Address
MARY ELLEN LODGE APN, PMHNP-BC
36 APPLETREE LN
SEWELL, NJ 08080-3022
Phone number: 856-373-2583
Copy
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