Individual
MR. GARYN WAYNE NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LSW
Contact information
Practice address
30 JESSE RD, HOWELL, NJ 07731-2070
(732) 763-5836
Mailing address
30 JESSE RD, HOWELL, NJ 07731-2070
(732) 763-5836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06050500
NJ
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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