Individual
MINDEL S GLICKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC
Contact information
Practice address
12 GOULD ST, PASSAIC, NJ 07055-5310
(973) 330-2807
Mailing address
12 GOULD ST, PASSAIC, NJ 07055-5310
(973) 330-2807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00686400
NJ
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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