Farley, Mary Jane

Farley, Mary Jane is an individual health care provider with primary practice located at 14555 W National Ave #193, New Berlin WI 53151-4494. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Farley, Mary Jane can be contacted via phone (262) 796-8426.

Contact Information

Primary practice address
14555 W National Ave #193 New Berlin WI 53151-4494
Phone: (262) 796-8426
Fax: (262) 796-8437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1502-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 459-124 Wisconsin

Profile Details

NPI number 1225143357
LBN Legal business name Farley, Mary Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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