Individual
DEBRA MICHELLE GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
50 LONGWOOD AVE APT 314, BROOKLINE, MA 02446-5224
(617) 824-0336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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