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Individual
MS. MARLA J EDELBERG
Active
Individual
MS. MARLA J EDELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R#22051-1
NY
1041C0700X
Clinical Social Worker
L220511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049430
VBH
NY
01
—
P3226225
OXFORD
NY
Enumeration date
09/30/2005
Last updated
03/07/2012
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