Organization · NPI-2

Bambi A Walzer Lcsw

Community/Behavioral Health · Brick, NJ

NPI number1225866213
StatusActive
Last updated in NPPESJul 23, 2024

Details

NPI
1225866213
Entity type
Organization (NPI-2)
Legal business name
Bambi A Walzer Lcsw
Organization subpart
No
Enumeration date
Jul 23, 2024
Certification date
Jul 23, 2024
Last updated
Jul 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

12 Woodchuck Ln
Brick, NJ 08724-5012

Phone 732-718-0824 · Fax 732-676-7827

Mailing address

12 Woodchuck Ln
Brick, NJ 08724-5012

Phone 732-718-0824 · Fax 732-676-7827

Authorized official

Bambi A Walzer
President
7327180824

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