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1912354788
DIANNE MACK
NEW YORK, NY
NPI
1912354788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 076408-1)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
-- DIANNE MACK
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
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Mailing Address
-- DIANNE MACK
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
Copy
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