Individual
LISA GAMMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CAMBRIDGE DR STE E, ABERDEEN, NJ 07747-2256
(513) 817-4143
Mailing address
20 CAMBRIDGE DR STE E, ABERDEEN, NJ 07747-2256
(513) 817-4143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05185300
NJ
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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