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1932304912
DIANE MAXINE CHURCHILL
NEW YORK, NY
NPI
1932304912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R042703-1)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
-- DIANE MAXINE CHURCHILL LCSW, PhD, CASAC
80 E 11TH ST # 404
NEW YORK, NY 10003-6811
Phone number: 212-228-1699
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Mailing Address
-- DIANE MAXINE CHURCHILL LCSW, PhD, CASAC
80 E 11TH ST # 404
NEW YORK, NY 10003-6811
Phone number: 212-228-1699
Copy
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