Individual
GILLIANN FAITH HAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Mailing address
283 BERRY ST, HACKENSACK, NJ 07601-2707
(201) 952-1409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106461
NY
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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