Individual
TRACITY GORDON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
190 ROUTE 18 STE 304, EAST BRUNSWICK, NJ 08816-1407
(732) 354-0623
(732) 354-0358
Mailing address
265 E 28TH ST, PATERSON, NJ 07514-1723
(973) 563-5446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06738800
NJ
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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