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General NPI Number Information
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NPI Number | 1790826766
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Entity Type | Individual
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Provider Name | CHRISTINE WELZER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 171 WOODPORT RD 2ND FLOOR
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City | SPARTA
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State | NJ
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Zip | 07871-2633
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Country | US
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Telephone | 201-317-3768
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Fax | 973-764-3845
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Provider Business Mailing Address
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Address Line | 1 PINE TER
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City | HIGHLAND LAKES
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State | NJ
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Zip | 07422-1119
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Country | US
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Telephone | 201-317-3768
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Fax | 973-764-3845
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05179400
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License Number State | NJ
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