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Organization
JULIE ROEBUCK, LCSW, LLC
Active
Organization
JULIE ROEBUCK, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROEBUCK LCSW (LCSW)
(201) 343-9155
Entity
Organization
Contact information
Practice address
14 MAIN ST, SUITE 203, MADISON, NJ 07940-1818
(201) 343-9155
(201) 343-9155
Mailing address
14 MAIN ST, SUITE 203, MADISON, NJ 07940-1818
(201) 343-9155
(201) 343-9155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05168000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209289
MEDICARE PTAN
NJ
Enumeration date
03/09/2012
Last updated
03/09/2012
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