Individual
MR. GARY L RYVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 COLBY AVE, STRATFORD, NJ 08084-1000
(856) 541-1700
(856) 346-3627
Mailing address
1 COLBY AVE, STRATFORD, NJ 08084-1000
(856) 541-1700
(856) 346-3627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05306900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05306900
LCSW
NJ
Enumeration date
05/03/2007
Last updated
07/08/2007
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