New Jersey
Division of Consumer Affairs
GAYLE N FORMAN
Licensed Clinical Social Worker
License number
44SC01170500
Date granted
10/17/1994
Date expires
08/31/2014
Class
Licensed Clinical Social Worker
Status
Active
licensingnj.com
ID 9801686
LAST UPDATED 2024-04-02 16:23:53 UTC
LAST UPDATED 2024-04-02 16:23:53 UTC
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