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1760570782
DIANE MILLER JOHNSON
HOLBROOK, NY
NPI
1760570782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R026438-1)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- DIANE MILLER JOHNSON LCSW
233 UNION AVE SUITE 202
HOLBROOK, NY 11741-1820
Phone number: 631-323-1333
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Mailing Address
-- DIANE MILLER JOHNSON LCSW
970 GREENWAY E
ORIENT, NY 11957-1314
Phone number: 631-323-1333
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