Individual
MS. ELLEN GOTTLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 NEW RD, NORTHFIELD, NJ 08225-1653
(609) 641-2500
(609) 641-2502
Mailing address
665 E LAKE FRONT CIR, GALLOWAY, NJ 08205-3314
(609) 652-8809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00039300
NJ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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