Individual
TARA GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
610 VALLEY HEALTH PLAZA, PARAMUS, NJ 07652
(845) 641-6121
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05296600
NJ
Other
Enumeration date
09/20/2011
Last updated
01/20/2012
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