DIANE M PARK

OLD TAPPAN, NJ
NPI1588392070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL06829700)
Enumeration Date2022-08-11
Last Update Date2025-02-06
Business Address
DIANE M PARK LCSW
180 OLD TAPPAN RD STE 9
OLD TAPPAN, NJ 07675-7048
Phone number: 929-376-8868
Mailing Address
DIANE M PARK LCSW
180 OLD TAPPAN RD STE 9
OLD TAPPAN, NJ 07675-7048
Phone number: 929-376-8868
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