DIANE TABAK

WEST BABYLON, NY
NPI1760632921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R046484-1)
Enumeration Date2008-09-24
Last Update Date2008-09-24
Business Address
-- DIANE TABAK R-LCSW
17 FORDHAM RD
WEST BABYLON, NY 11704-5803
Phone number: 631-321-7011
Mailing Address
-- DIANE TABAK R-LCSW
17 FORDHAM RD
WEST BABYLON, NY 11704-5803
Phone number: 631-321-7011