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Individual
MS. DIANE M DISALVO
Active
Individual
MS. DIANE M DISALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R031597-1
NY
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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