| Makla Gestetner Lcsw Llc | |
|
1166 Buckwald Ct Lakewood NJ 08701-1263 | |
| (908) 770-8415 | |
| Not Available |
| Full Name | Makla Gestetner Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1166 Buckwald Ct, Lakewood, New Jersey |
| Authorized Official Name and Position | Malka Gestetner (OWNER) |
| Authorized Official Contact | 9087708415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Makla Gestetner Lcsw Llc 1166 Buckwald Ct Lakewood NJ 08701-1263 Ph: (908) 770-8415 | Makla Gestetner Lcsw Llc 1166 Buckwald Ct Lakewood NJ 08701-1263 Ph: (908) 770-8415 |
| NPI Number | 1427782739 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427782739 | NPI | - | NPPES |
| 0450577595 | Other | NJ | DIVISION OF REVENUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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