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Individual
JUDITH K GLICK
Active
Individual
JUDITH K GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409808
MAGELLAN P CARE HARV PILG
MA
01
—
LM0470
BCBS OF MA
MA
Enumeration date
12/11/2006
Last updated
07/08/2007
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