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Individual
MYRNA D DIPTEE
Active
Individual
MYRNA D DIPTEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
071211
NY
101YM0800X
Mental Health Counselor
071211
NY
103K00000X
Behavior Analyst
071211
NY
104100000X
Social Worker
071211
NY
1041C0700X
Clinical Social Worker
Primary
071211
NY
Other
Enumeration date
01/15/2010
Last updated
05/01/2015
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