Individual
MS. AGNES MARIE GAMBALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
292 S PROSPECT AVE, BERGENFIELD, NJ 07621-2627
(201) 385-0777
Mailing address
292 S PROSPECT AVE, BERGENFIELD, NJ 07621-2627
(201) 385-0777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
043919
NY
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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