Individual
GAVRIELLE BETH SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1536 STATE ROUTE 23 # 1021, WAYNE, NJ 07470-7516
(551) 237-6768
Mailing address
1536 STATE ROUTE 23 # 1021, WAYNE, NJ 07470-7516
(551) 237-6768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101218
NY
1041C0700X
Clinical Social Worker
Primary
44SC06522600
NJ
Other
Enumeration date
04/11/2022
Last updated
10/11/2025
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