Individual
KEVIN GERETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
482 SPRINGFIELD AVE, SUMMIT, NJ 07901-2601
(908) 273-5558
Mailing address
112 BIRCH RD, FRANKLIN LAKES, NJ 07417-2718
(201) 783-6637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06503200
NJ
Other
Enumeration date
10/18/2019
Last updated
09/14/2022
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