IREM E GANNON

ROCKAWAY, NJ
NPI1386224152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL05876900)
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
IREM E GANNON
217 E MAIN ST
ROCKAWAY, NJ 07866-3602
Phone number: 973-983-3919
Mailing Address
IREM E GANNON
1025 BIRCH ST
BOONTON, NJ 07005-1457
Phone number: 201-323-3012