Individual
IRINA GOROKHOVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 SHINNECOCK DR, MANALAPAN, NJ 07726-9519
(917) 685-4863
Mailing address
215 SHINNECOCK DR, MANALAPAN, NJ 07726-9519
(917) 685-4863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06022400
NJ
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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