Individual
KATHRYN JO GORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, ATR-P
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 290-9040
Mailing address
1007 MAIN ST APT 2, BELMAR, NJ 07719-2786
(908) 461-2437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NJ
Other
Enumeration date
09/10/2019
Last updated
09/15/2019
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