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Organization
PHARA GLADDEN,LCSW,PLLC
Active
Organization
PHARA GLADDEN,LCSW,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHARA GLADDEN LCSW-R (CLINICAL SOCIAL WORKER)
(845) 596-8006
Entity
Organization
Contact information
Practice address
978 ROUTE 45, SUITE 104, POMONA, NY 10970-3521
(845) 596-8006
Mailing address
PO BOX 20, BLAUVELT, NY 10913-0020
(845) 596-8006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075198
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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