Individual
GARDAN SPEIGHTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 E RIDGEWOOD AVE, UNIT FG (BEHAVIORAL HEALTH), PARAMUS, NJ 07652-4142
(201) 967-4430
Mailing address
230 E RIDGEWOOD AVE, UNIT FG (BEHAVIORAL HEALTH), PARAMUS, NJ 07652-4142
(201) 967-4430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05547700
NJ
Other
Enumeration date
11/12/2013
Last updated
05/10/2021
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