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Individual

MR. GARY MICHAEL FURTAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PEER SPECIALIST

Contact information

Practice address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
(732) 276-1510
(732) 363-5537
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 276-1510

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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