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Individual

MRS. FELICIA GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
908 POMPTON AVE STE B2, CEDAR GROVE, NJ 07009-1263
(973) 479-5185
Mailing address
90 HIGH ST, NUTLEY, NJ 07110-1134
(973) 667-7491

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SC04596300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04596300
NJ

Other

Enumeration date
02/17/2007
Last updated
11/04/2024
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