Individual
KATHARINE GULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 W HIGH ST STE A, SOMERVILLE, NJ 08876-1854
(908) 725-7799
Mailing address
150 W HIGH ST STE A, SOMERVILLE, NJ 08876-1854
(908) 725-7799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06617900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL06617900
STATE LICENSE
NJ
Enumeration date
12/09/2020
Last updated
11/07/2024
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