Individual
GWENN GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 MADISON ST APT 526, HOBOKEN, NJ 07030-6857
(845) 702-0862
Mailing address
830 MADISON ST APT 526, HOBOKEN, NJ 07030-6857
(845) 702-0862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/22/2020
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