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1962740076
DIANE ROACH
WESTBURY, NY
NPI
1962740076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 085916-1)
Enumeration Date
2013-01-24
Last Update Date
2019-11-26
Business Address
DIANE ROACH LCSW
309 MADISON ST STE 7
WESTBURY, NY 11590-3248
Phone number: 516-334-1719
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Mailing Address
DIANE ROACH LCSW
309 MADISON ST STE 7
WESTBURY, NY 11590-3248
Phone number: 516-334-1719
Copy
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