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1336766823
IVY DIAMOND
FAR ROCKAWAY, NY
NPI
1336766823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 087385-1)
Enumeration Date
2020-06-30
Last Update Date
2022-10-19
Business Address
IVY DIAMOND LCSW
707 BEACH 9TH ST APT 2L
FAR ROCKAWAY, NY 11691-5226
Phone number: 917-405-3200
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Mailing Address
IVY DIAMOND LCSW
707 BEACH 9TH ST APT 2L
FAR ROCKAWAY, NY 11691-5226
Phone number: 917-405-3200
Copy
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