Individual
MS. GLORIA SERVAKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 TENNENT RD STE 209, MANALAPAN, NJ 07726-3163
(732) 351-0411
(732) 358-0811
Mailing address
660 TENNENT RD STE 209, MANALAPAN, NJ 07726-3163
(732) 351-0411
(732) 358-0811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05833600
NJ
1041C0700X
Clinical Social Worker
Primary
44SL06169300
NJ
Other
Enumeration date
01/31/2018
Last updated
05/20/2020
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