Individual
MR. GARY A DOCK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
190 W OAK AVE APT A, LAWNSIDE, NJ 08045
(862) 324-4375
Mailing address
190 W OAK AVE APT A, LAWNSIDE, NJ 08045-1215
(862) 324-4375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC000761000
NJ
Other
Enumeration date
02/13/2008
Last updated
07/20/2018
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