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General NPI Number Information
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NPI Number | 1770723942
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Entity Type | Organization
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Legal Business Name | DEBRA S. GLUCK, MSW, LCSW, LLC
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 3301 ROUTE 66 BUILDING B, SUITE 106
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City | NEPTUNE
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State | NJ
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Zip | 07753-2705
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Country | US
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Telephone | 732-455-3870
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Fax | 732-455-3872
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Provider Business Mailing Address
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Address Line | 3301 ROUTE 66 BUILDING B, SUITE 106
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City | NEPTUNE
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State | NJ
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Zip | 07753-2705
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Country | US
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Telephone | 732-455-3870
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Fax | 732-455-3872
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. DEBRA SUSAN GLUCK
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Credential | MSW, LCSW
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Telephone | 732-455-3870
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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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