Individual
MRS. CARMELLE ROMIE GOURGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1049 BROADWAY STE 2, WEST LONG BRANCH, NJ 07764-1335
(732) 852-7750
Mailing address
37 MAPLE ST, SUMMIT, NJ 07901-2529
(732) 674-9857
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NJ
Other
Enumeration date
03/12/2024
Last updated
09/08/2024
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