Individual provider · Type 1 NPI
Yeddi Park, MSW
School Social Worker · Leonia, NJ
NPI number
1013237353
Active
Practice location
372 Grand Ave, 7A
Leonia, NJ 07605-2256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 076492-1 (NY) |
| Social Worker | 104100000X | 44SL05242700 (NJ) |
School Social Worker: Definition to come...
About NPI 1013237353
Yeddi Park, MSW's National Provider Identifier is 1013237353, issued on Jun 9, 2010. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Leonia, NJ. The record was last updated on Oct 16, 2010.