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1174117923
DIANE BRIELOFF KELLY
MASSAPEQUA, NY
NPI
1174117923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R043361-1)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
DIANE BRIELOFF KELLY rcsw
27 ADAM RD W
MASSAPEQUA, NY 11758-8003
Phone number: 516-972-0031
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Mailing Address
DIANE BRIELOFF KELLY rcsw
27 ADAM RD W
MASSAPEQUA, NY 11758-8003
Phone number: 516-972-0031
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