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Individual

DR. JESSICA LYNN GLOWACKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(516) 847-5377
Mailing address
PO BOX 12, MIDDLE ISLAND, NY 11953-0012
(516) 847-5377

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
09/02/2013
Last updated
09/02/2013
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