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1386721371
DIANE S JERDAN
ITHACA, NY
NPI
1386721371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R0507620)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Ms. DIANE S JERDAN LCSW
122 WEST COURT ST
ITHACA, NY 14850
Phone number: 607-275-3675
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Mailing Address
Ms. DIANE S JERDAN LCSW
122 WEST COURT ST
ITHACA, NY 14850
Phone number: 607-275-3675
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