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1609890920
DIANE WACKS
PLANTATION, FL
NPI
1609890920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6975)
Enumeration Date
2006-07-27
Last Update Date
2007-07-09
Business Address
-- DIANE WACKS LCSW
100 S PINE ISLAND RD STE 230
PLANTATION, FL 33324-2613
Phone number: 954-370-2140
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Mailing Address
-- DIANE WACKS LCSW
8710 LAKE DASHA TER
PLANTATION, FL 33324-3121
Phone number: 954-562-0451
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