Individual
STEVEN L GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
627 TILTON RD, NORTHFIELD, NJ 08225-1219
(609) 534-3771
(609) 534-9188
Mailing address
627 TILTON RD, NORTHFIELD, NJ 08225-1219
(609) 534-3771
(609) 534-9188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06465500
NJ
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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