GAIL DERIVAN

MONTCLAIR, NJ
NPI1518113026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC01294900)
Enumeration Date2008-08-15
Last Update Date2008-08-15
Business Address
Ms. GAIL DERIVAN LCSW
207 BELLEVUE AVE
MONTCLAIR, NJ 07043-1884
Phone number: 862-596-7816
Mailing Address
Ms. GAIL DERIVAN LCSW
29 FREDERICK ST
MONTCLAIR, NJ 07042-4105
Phone number: 973-746-5758
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