Individual
MRS. GINA MARIE UNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 930-5507
(973) 860-1326
Mailing address
48 PINE DR, CEDAR GROVE, NJ 07009-1036
(973) 890-8637
(973) 860-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00041300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053835
PTAN
NJ
01
—
053835YHEQ
GROUP PTAN BURKE AND UNGER LIFEWORKS COUNSELING
NJ
Enumeration date
01/10/2007
Last updated
12/11/2012
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