Individual
JENNIFER GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BYRON RD, NORTH CALDWELL, NJ 07006-4204
(073) 865-8276
Mailing address
6 BYRON RD, NORTH CALDWELL, NJ 07006-4204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04777500
NJ
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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