Debra Gruda Lcsw PC

NPI #1811343049 in Patchogue, New York

Provider Information

NPI Number: 1811343049
Entity Type: Organization
Organization Name: Debra Gruda Lcsw PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: 475 E MAIN ST
Address 2: SUITE 211
City: Patchogue
State: New York
ZIP Code: 11772-3121
Phone: (516) 729-1530

Authorized Official

Name: DEBRA GRUDA, LCSW R
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (516) 729-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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