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1649458548
DEBRA LAUREN GRUDA
FARMINGDALE, NY
NPI
1649458548
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Other Name
DEBRA LAUREN FORMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 071391)
Enumeration Date
2008-02-04
Last Update Date
2022-10-11
Business Address
Mrs. DEBRA LAUREN GRUDA LCSWR
26 SPENCER ST
FARMINGDALE, NY 11735-3131
Phone number: 516-729-1530
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Mailing Address
Mrs. DEBRA LAUREN GRUDA LCSWR
PO BOX 732
MASSAPEQUA PARK, NY 11762-0732
Phone number: 516-729-1530
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