Individual
DENISE ANN GAVIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
2210 FREDERICK CT, VINELAND, NJ 08361-6197
(856) 207-0956
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00000700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999130
—
NJ
Enumeration date
01/08/2021
Last updated
07/12/2024
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