Individual
MRS. GAYLE NOVACK FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
23 DIAMOND SPRING RD, SUITE 6, DENVILLE, NJ 07834-2770
(973) 586-4454
(973) 736-6554
Mailing address
23 DIAMOND SPRING RD, SUITE 6, DENVILLE, NJ 07834-2770
(973) 586-4454
(973) 736-6554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01170500
NJ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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