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General NPI Number Information
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NPI Number | 1730853615
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Entity Type | Organization
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Legal Business Name | DB LCSW PLLC
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 245 EAST 13TH STREET GROUND FLOOR, SUITE 5
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 917-514-1389
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BRANFORD CIR
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City | TINTON FALLS
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State | NJ
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Zip | 07724-3248
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Country | US
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Telephone | 917-514-1389
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CONSTANCE JOAN DROGOUL BICKSON
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Credential | LCSW
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Telephone | 917-514-1389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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