Individual
GINA MARIE DIARCHANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 BROAD ST STE 301, RED BANK, NJ 07701-2013
(322) 399-2687
Mailing address
1021 BROAD ST # 1004, SHREWSBURY, NJ 07702-4303
(732) 239-9268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05168900
NJ
Other
Enumeration date
10/05/2010
Last updated
02/20/2025
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