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Individual

MS. DEBRA SARCH MATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, DCSW

Contact information

Practice address
1101 RTE 390, SUITE 102, CRESCO, PA 18326
(570) 595-0943
(570) 595-0969
Mailing address
PO BOX 108, ROUTE 390, MOUNTAINHOME, PA 18342-0108
(570) 595-0943
(570) 595-0969

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC00204500
NJ
1041C0700X
Clinical Social Worker
CW008764L
PA
106H00000X
Marriage & Family Therapist
Primary
37F100138600
NJ

Other

Enumeration date
07/13/2006
Last updated
05/08/2015
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