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Individual

GYNGEAR EMITH CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7137
Mailing address
11 RUTGERS PL, PASSAIC, NJ 07055-5605
(862) 686-7610

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06038900
NJ

Other

Enumeration date
03/14/2022
Last updated
06/20/2022
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