Marilyn Gresh Msw Lcsw Llc | |
500 Main St Lanlac Building I - Suite 4 Lanoka Harbor NJ 08734-2228 | |
(609) 242-4061 | |
(609) 693-2789 |
Full Name | Marilyn Gresh Msw Lcsw Llc |
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Speciality | Social Worker |
Location | 500 Main St, Lanoka Harbor, New Jersey |
Authorized Official Name and Position | Marilyn Gresh (OWNER) |
Authorized Official Contact | 6092424061 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marilyn Gresh Msw Lcsw Llc Po Box 537 Lanoka Harbor NJ 08734-0537 Ph: () - | Marilyn Gresh Msw Lcsw Llc 500 Main St Lanlac Building I - Suite 4 Lanoka Harbor NJ 08734-2228 Ph: (609) 242-4061 |
NPI Number | 1144571233 |
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Provider Enumeration Date | 09/28/2012 |
Last Update Date | 11/27/2012 |
Medicare PECOS PAC ID | 3173777877 |
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Medicare Enrollment ID | O20130205000344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144571233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05412900 (New Jersey) | Primary |
Provider Name | Marilyn B Gresh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942464938 PECOS PAC ID: 4284760992 Enrollment ID: I20100406000508 |
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