Individual
JACQUELINE GAMBARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98 RUTGERS ST, MAPLEWOOD, NJ 07040-3250
(917) 734-9237
Mailing address
160 LAWRENCE AVE, BROOKLYN, NY 11230-1103
(718) 436-7979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05844600
NJ
1041S0200X
School Social Worker
074564-1
NY
Other
Enumeration date
11/04/2014
Last updated
05/25/2023
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