Individual
DR. GLADYS SANTIAGO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
285 AYCRIGG AVENUE UNIT 16G, PASSAIC, NJ 07055-3737
(973) 473-4066
Mailing address
285 AYCRIGG AVENUE UNIT 16G, PASSAIC, NJ 07055-3737
(973) 473-4066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05431600
NJ
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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