Andy Debaun LCSW

NPI 1114128246 - Social Worker - 1041C0700X

NPI Details
NPI 1114128246
Gender Male
Enumeration Date 05/29/2007
Last Updated 02/12/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
# 3
JERSEY CITY NJ, 07302-4411, US
Phone (914) 400-3160
Business Location
29 W 76TH ST
APT. 2
NEW YORK NY, 10023-1518, US
Phone (914) 400-3160
Taxonomy Code 1041C0700X
License State New York
License Number 069448
Remove 1114128246 NPI Number

According to our database, Andy Debaun LCSW NPI is 1114128246, taxonomy code is 1041C0700X and license number is 069448, license state is located at New York. Andy Debaun LCSW physically located at 207 Warren St, Jersey City NJ, 07302-4411. NPI Number Andy Debaun LCSW has the Individual type.

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1114128246 NPI number is provided on an as is basis without warranty of any kind. 1114128246 is maintained by the National Plan & Provider Enumeration System. The contents of Andy Debaun LCSW are for informational purposes only.