Individual
GINA LOUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 VILLAGE GRN APT M, BUDD LAKE, NJ 07828-1322
(862) 368-1567
Mailing address
22 VILLAGE GRN APT M, BUDD LAKE, NJ 07828-1322
(862) 368-1567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094228-01
NY
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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