Individual
GLORIA A. ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 CEDAR LN STE 3, TEANECK, NJ 07666-4315
(201) 310-7214
Mailing address
679 GRANT TER, TEANECK, NJ 07666-6522
(201) 287-1910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04558600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059927
—
NJ
Enumeration date
09/21/2006
Last updated
07/08/2007
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