Individual
ELLIOT GEWIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
228 AYCRIGG AVE, PASSAIC, NJ 07055-4704
(973) 460-4430
Mailing address
228 AYCRIGG AVE, PASSAIC, NJ 07055-4704
(973) 460-4430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01366900
NJ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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