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1780672154
STEPHEN DIAMOND
PORT JERVIS, NY
NPI
1780672154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY R0178051)
Enumeration Date
2005-10-11
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN DIAMOND LCSW
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
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Mailing Address
Mr. STEPHEN DIAMOND LCSW
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
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