Individual
J MICHAEL DZUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
825 N WASHINGTON ST, WILMINGTON, DE 19801-1509
(302) 655-7110
(302) 655-6185
Mailing address
635 W SEDGWICK ST, PHILADELPHIA, PA 19119-3442
(215) 849-2747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q1-0000120
DE
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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