Servakh, Gloria
Servakh, Gloria is an sole proprietor health care provider with primary practice located at 660 Tennent Rd Ste 209 , Manalapan NJ 07726-3163. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Servakh, Gloria can be contacted via phone (732) 351-0411.Contact Information
Primary practice address
660 Tennent Rd Ste 209
Manalapan NJ 07726-3163
Phone: (732) 351-0411
Fax: (732) 358-0811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL06169300 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05833600 | New Jersey |
Profile Details
| NPI number | 1417455767 |
|---|---|
| LBN Legal business name | Servakh, Gloria |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2018 |
| Last updated | May 20th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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