Individual
MRS. MARLENE J GLICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
30 LACROSS ST, HUDSON FALLS, NY 12839
(518) 747-4720
(518) 747-4736
Mailing address
26 LAFAYETTE ST, HUDSON FALLS, NY 12839
(518) 747-1121
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
LP0008141
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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