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Organization

DOMINICK DEBLASIO

Active
Parent organization
CHERYL A. BYK, LCSW, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHERYL A. BYK, LCSW, LLC
Authorized official
CATHY ANNUNZIATA (BILLING MANAGER)
(609) 597-8397
Entity
Organization

Contact information

Practice address
500 MAIN ST, LANOKA HARBOR, NJ 08734-2228
(609) 971-8989
(609) 242-3207
Mailing address
1131 LAUREL BLVD, LANOKA HARBOR, NJ 08734-2903
(609) 971-8989
(609) 242-3207

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00101900
NJ
101YP2500X
Professional Counselor
Primary
37OC99118799
NJ

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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