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1104912898
GLORIA BURTH
ELMHURST, NY
NPI
1104912898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY P055498-1)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- GLORIA BURTH LCSW
75-01 BROADWAY 3RD FL
ELMHURST, NY 11373
Phone number: 718-478-1554
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Mailing Address
-- GLORIA BURTH LCSW
63-85 WOODHAVEN BLVD APT 6H
REGO PARK, NY 11374-4850
Phone number: 718-478-1554
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