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Joanne Sullivan Gray, LCSW

Social Worker, Clinical in Manasquan, NJ. Individual provider (NPI-1).

NPI number1679051007
StatusActive
Last updated in NPPESApr 27, 2022

Details

NPI
1679051007
Entity type
Individual (NPI-1)
Name
Joanne Sullivan Gray
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2018
Certification date
Apr 27, 2022
Last updated
Apr 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC05942400NJYes
104100000X Social Worker44SL06397500NJ

Practice location

200 Atlantic Ave
Manasquan, NJ 08736-1352

Phone 609-916-6445

Mailing address

412 5th Ave
Belmar, NJ 07719-2111

Phone 732-681-8717

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Other Clinical Social Worker providers in Manasquan, NJ

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