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Individual

MRS. GLORIA D GHONEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
145 MAPLE AVE, RED BANK, NJ 07701-1717
(732) 747-9660
Mailing address
203 DELAWARE AVE, OAKHURST, NJ 07755-1314
(732) 531-9464

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00852800
NJ

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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