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1871011775
PAMELA ANN GLUCK
PORT JERVIS, NY
NPI
1871011775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 33555)
Enumeration Date
2017-08-31
Last Update Date
2022-07-21
Business Address
PAMELA ANN GLUCK CASAC
17 SUSSEX STREET
PORT JERVIS, NY 12771
Phone number: 845-856-6344
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Mailing Address
PAMELA ANN GLUCK CASAC
17 SUSSEX ST
PORT JERVIS, NY 12771-2430
Phone number: 845-856-6344
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