Individual
MISS TINA MARIE GAJDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, NCC
Contact information
Practice address
15 W PROSPECT ST, SUITE 2, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Mailing address
15 W PROSPECT ST, SUITE 2, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
09/13/2013
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