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Individual

KAWEENA A GAYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
92A SUBURBIA DR, JERSEY CITY, NJ 07305-6200
(862) 755-2857
(862) 755-2857
Mailing address
92A SUBURBIA DR, JERSEY CITY, NJ 07305-6200
(862) 755-2857
(862) 755-2857

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NJ

Other

Enumeration date
10/08/2025
Last updated
10/29/2025
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