Individual
GABRIELLA JANAY TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31 E MUNSELL AVE, LINDEN, NJ 07036-3115
(908) 487-0763
Mailing address
31 E MUNSELL AVE, LINDEN, NJ 07036-3115
(908) 487-0763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06771200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06469700
NJ
Other
Enumeration date
04/07/2022
Last updated
04/23/2025
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