PETER STALLER

WYCKOFF, NJ
NPI1962113704
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05544900)
Enumeration Date2022-12-13
Last Update Date2022-12-13
Business Address
Mr. PETER STALLER LCSW
515 WYCKOFF AVE
WYCKOFF, NJ 07481-1232
Phone number: 917-742-5263
Mailing Address
Mr. PETER STALLER LCSW
515 WYCKOFF AVE
WYCKOFF, NJ 07481-1232
Phone number: 917-742-5263