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NPI Code Detail

MEDICARE: MS. DEBRA CROSBY LCSW

MEDICARE:  MS. DEBRA  CROSBY  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05303400NJ

General Provider Information

NPI Number : 1720472822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA CROSBY LCSW
Provider Business Mailing Address
First Line : 99 HAMILTON AVE
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-1927
Country : US
Telephone Number : 908-902-3209
Fax Number :
Provider Business Practice Location Address
First Line : 99 HAMILTON AVE
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-1927
Country : US
Telephone Number : 908-902-3209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 03/26/2015

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Directions to “ MS. DEBRA CROSBY LCSW” Practice Location

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