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Individual
DIANE MARSHA SANDLER-DERBY
Active
Individual
DIANE MARSHA SANDLER-DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4882
NY
1041C0700X
Clinical Social Worker
Primary
R033648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7402751
BLUE CHOICE
NY
01
—
AS230
OXFORD
NY
01
—
N54091
BLUE CHOICE
NY
Enumeration date
09/28/2006
Last updated
10/15/2010
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