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1760632921
DIANE TABAK
WEST BABYLON, NY
NPI
1760632921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R046484-1)
Enumeration Date
2008-09-24
Last Update Date
2008-09-24
Business Address
-- DIANE TABAK R-LCSW
17 FORDHAM RD
WEST BABYLON, NY 11704-5803
Phone number: 631-321-7011
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Mailing Address
-- DIANE TABAK R-LCSW
17 FORDHAM RD
WEST BABYLON, NY 11704-5803
Phone number: 631-321-7011
Copy
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