Individual
MS. MARY KATHRYN GAESTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
27 MERRILL RD, CLIFTON, NJ 07012-1619
(973) 928-3084
Mailing address
27 MERRILL RD, CLIFTON, NJ 07012-1619
(973) 928-3084
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
786691
NJ
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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