Organization
ELYSE GULI LICENSED CLINICAL SOCIAL WORKER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE GULI (OWNER)
(201) 887-0139
Entity
Organization
Contact information
Practice address
122 BALDWIN TER, WAYNE, NJ 07470-3603
(201) 887-0139
Mailing address
122 BALDWIN TER, WAYNE, NJ 07470-3603
(201) 887-0139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05550300
NJ
Other
Enumeration date
02/22/2017
Last updated
04/19/2024
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