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Organization
LISA TORTORELLO GILLIGAN MSW LCSW LLC
Active
Organization
LISA TORTORELLO GILLIGAN MSW LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE TORTORELLO-GILLIGAN (OWNER)
(732) 609-0169
Entity
Organization
Contact information
Practice address
300 KIMBALL ST, WOODBRIDGE, NJ 07095-2513
(732) 609-0169
(732) 218-8601
Mailing address
300 KIMBALL ST STE 106, WOODBRIDGE, NJ 07095-2506
(732) 609-0169
(732) 218-8601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05364900
NJ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA
AETNA
—
Enumeration date
04/30/2013
Last updated
10/09/2020
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