Individual
BETH GUGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
285 E MAIN ST, SOMERVILLE, NJ 08876-3005
(908) 707-0212
Mailing address
285 E MAIN ST, SOMERVILLE, NJ 08876-3005
(908) 707-0212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05934300
NJ
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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