MRS. DIANE IVANOV, LCSW

Social Worker - Clinical

Active Individual
NPI: 1932183100

Practice Address

77 N MAIN ST
STE 4
Milltown, NJ 08850

Phone: (718) 496-1149

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No R049698-1 (NY)

Frequently Asked Questions

NPI 1932183100 is the National Provider Identifier for MRS. DIANE IVANOV, LCSW, a Social Worker - Clinical provider located in Milltown, NJ. This NPI was enumerated on December 1, 2005.
MRS. DIANE IVANOV, LCSW practices at 77 N MAIN ST, STE 4, Milltown, NJ 08850.

Quick Facts

NPI
1932183100
Type
Individual
Enumerated
Dec 1, 2005
Last Updated
Apr 12, 2017

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