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1184853848
DIANA FOGARTY
WEST BABYLON, NY
NPI
1184853848
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Former Name
DIANA HARRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 076237)
Enumeration Date
2009-07-02
Last Update Date
2013-01-28
Business Address
-- DIANA FOGARTY LCSW-R
11 ROUTE 109
WEST BABYLON, NY 11704-6207
Phone number: 631-669-5355
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Mailing Address
-- DIANA FOGARTY LCSW-R
11 ROUTE 109
WEST BABYLON, NY 11704-6207
Phone number: 631-669-5355
Copy
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