Individual
MARIE L GAGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC
Contact information
Practice address
2185 LEMOINE AVENUE, UNIT 1G, FORT LEE, NJ 07024
(877) 959-8180
(866) 535-3188
Mailing address
2185 LEMOINE AVENUE, UNIT 1G, FORT LEE, NJ 07024
(877) 959-8180
(866) 535-3188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37AC00177600
STATE LICENSE
NJ
Enumeration date
03/01/2022
Last updated
03/01/2022
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