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Individual
IRA ZIMBLER
Active
Individual
IRA ZIMBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105874
MA
1041C0700X
Clinical Social Worker
R035681-1
NY
Other
Enumeration date
11/06/2006
Last updated
06/26/2012
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