Organization
MARIE EDITH GANTHIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE EDITH GANTHIER MSW LCSW (LICENSED CLINICAL SOCIAL WORKER)
(908) 447-1211
Entity
Organization
Contact information
Practice address
148 W ELMWOOD DR, SOUTH PLAINFIELD, NJ 07080-4913
(908) 447-1211
Mailing address
148 W ELMWOOD DR, SOUTH PLAINFIELD, NJ 07080-4913
(908) 447-1211
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC00355600
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
44SC00355600
NJ
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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