Individual
GITELLE KOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
225 4TH ST, LAKEWOOD, NJ 08701-3228
(216) 337-6267
Mailing address
219 8TH ST APT 14A, LAKEWOOD, NJ 08701-2831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05809500
NJ
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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