Organization
GRETEL J LAVIERI, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETEL J LAVIERI MSW, LCSW (OWNER)
(609) 433-6417
Entity
Organization
Contact information
Practice address
107 DARROW DR, PENNINGTON, NJ 08534-1809
(609) 433-6417
Mailing address
107 DARROW DR, PENNINGTON, NJ 08534-1809
(609) 433-6417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05196200
NJ
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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