DIANA FOGARTY

WEST BABYLON, NY
NPI1184853848
Former NameDIANA HARRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  076237)
Enumeration Date2009-07-02
Last Update Date2013-01-28
Business Address
-- DIANA FOGARTY LCSW-R
11 ROUTE 109
WEST BABYLON, NY 11704-6207
Phone number: 631-669-5355
Mailing Address
-- DIANA FOGARTY LCSW-R
11 ROUTE 109
WEST BABYLON, NY 11704-6207
Phone number: 631-669-5355