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1265449912
DIANA BURGRAVE
FAR ROCKAWAY, NY
NPI
1265449912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY R0255591)
Enumeration Date
2006-08-02
Last Update Date
2019-12-04
Business Address
Ms. DIANA BURGRAVE LCSW R
316 BEACH 65TH ST DAYTOP VILLAGE INC
FAR ROCKAWAY, NY 11692
Phone number: 718-474-3800
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Mailing Address
Ms. DIANA BURGRAVE LCSW R
220 BEACH 117TH ST
ROCKAWAY PARK, NY 11694
Phone number: 718-634-3594
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