Individual
DYLAN GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 STULTS RD STE 137, DAYTON, NJ 08810-1549
(732) 908-2111
Mailing address
62 WICK DR, FORDS, NJ 08863-1444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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