DIANE M PARK

TEANECK, NJ
NPI1588392070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL06829700)
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
DIANE M PARK LSW
179 CEDAR LN STE C
TEANECK, NJ 07666-4304
Phone number: 201-505-8972
Mailing Address
DIANE M PARK LSW
86 MADISON ST APT 207
PARK RIDGE, NJ 07656-1383
Phone number: 201-388-7666
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