Individual
MR. GARY DOUGLAS LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LPC, LCSW
Contact information
Practice address
22 GORDON AVE, LAWRENCEVILLE, NJ 08648-1033
(098) 440-4526
(609) 844-0518
Mailing address
PO BOX 6573, LAWRENCEVILLE, NJ 08648-0573
(609) 844-0452
(609) 844-0518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW122788
PA
1041C0700X
Clinical Social Worker
Primary
44SCO5800000
NJ
Other
Enumeration date
02/07/2008
Last updated
07/12/2021
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