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1962113704
PETER STALLER
WYCKOFF, NJ
NPI
1962113704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05544900)
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
Mr. PETER STALLER LCSW
515 WYCKOFF AVE
WYCKOFF, NJ 07481-1232
Phone number: 917-742-5263
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Mailing Address
Mr. PETER STALLER LCSW
515 WYCKOFF AVE
WYCKOFF, NJ 07481-1232
Phone number: 917-742-5263
Copy
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