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1720397912
GINA MARIE DIARCHANGEL
RED BANK, NJ
NPI
1720397912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NJ 44SC05168900)
Enumeration Date
2010-10-05
Last Update Date
2019-06-21
Business Address
GINA MARIE DIARCHANGEL LCSW
157 BROAD ST STE 301
RED BANK, NJ 07701-2013
Phone number: 322-399-2687
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Mailing Address
GINA MARIE DIARCHANGEL LCSW
5110 12TH AVE
BROOKLYN, NY 11219-3424
Phone number: 800-275-3243
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