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1700029477
DEBORAH R. KOURGELIS
RIDGEWOOD, NJ
NPI
1700029477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05300400)
Enumeration Date
2009-04-10
Last Update Date
2009-04-10
Business Address
-- DEBORAH R. KOURGELIS LCSW
163 DAYTON ST
RIDGEWOOD, NJ 07450-4407
Phone number: 201-694-1648
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Mailing Address
-- DEBORAH R. KOURGELIS LCSW
115 FRANKLIN TPKE # 198
MAHWAH, NJ 07430-1325
Phone number: 201-529-3531
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