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Organization
MONT'S HAVEN & CONSULTING
Active
Organization
MONT'S HAVEN & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANIQUA QUANESE GAYLE LCSW (CLINICIAN)
(973) 454-0552
Entity
Organization
Contact information
Practice address
132 HILLSIDE TER, IRVINGTON, NJ 07111-1514
(973) 454-0552
Mailing address
132 HILLSIDE TER, IRVINGTON, NJ 07111-1514
(973) 454-0552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
12/12/2024
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