Individual
ELIZABETH GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
126 W 5TH AVE, ROSELLE, NJ 07203-1903
(678) 367-9537
Mailing address
126 W 5TH AVE, ROSELLE, NJ 07203-1903
(678) 367-9537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00892200
NJ
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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