| Doctor Name: | MARILYN B GRESH |
| NPI Number: | 1942464938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC05412900 |
| Business Practice Address: | 500 Main St Lanlac Bldg 1 - Suite 4 - 2nd Floor Lanoka Harbor, NJ - 087342228 |
| Business Phone Number: | 6092424061 |
| Business Fax Number: | 6096932789 |
| Mailing Address: | Po Box 537, LANOKA HARBOR |
| State: | NJ |
| Postal Code: | 087340537 |
| Phone Number: | 6092424061 |
| Fax Number: | 6096932789 |
| NPI Enumeration Date: | 07/18/2008 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05412900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |