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Individual

NOAH DZUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, ASW

Contact information

Practice address
604 S WASHINGTON SQ APT 1616, PHILADELPHIA, PA 19106-4125
(267) 536-5565
Mailing address
604 S WASHINGTON SQ APT 1616, PHILADELPHIA, PA 19106-4125
(267) 536-5565

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW63323
CA

Other

Enumeration date
10/17/2014
Last updated
11/04/2022
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