Individual
MS. ELLEN G GERTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
391 KEARNY AVENUE, KEARNY, NJ 07032-2603
(201) 246-8077
(201) 955-6165
Mailing address
391 KEARNY AVENUE, KEARNY, NJ 07032-2603
(201) 246-8077
(201) 955-6165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC45246
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
485523000
MAGELLAN
—
Enumeration date
01/17/2007
Last updated
07/08/2007
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