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Organization
SUSAN GUTWILL MS LCSW PC
Active
Organization
SUSAN GUTWILL MS LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUTWILL MS, LCSW (PRESIDENT)
(732) 887-0848
Entity
Organization
Contact information
Practice address
224 VALENTINE ST, HIGHLAND PARK, NJ 08904-2205
(732) 887-0848
Mailing address
224 VALENTINE ST, HIGHLAND PARK, NJ 08904-2205
(732) 887-0848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01291300
NJ
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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