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Organization
DIANE A GARIEPY LCSW PC
Active
Organization
DIANE A GARIEPY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE ALICE GARIEPY LCSWR,ND (PRESIDENT)
(631) 642-7474
Entity
Organization
Contact information
Practice address
460 OLD TOWN ROAD, 21-G, PORT JEFFERSON STATION, NY 11776
(631) 642-7474
Mailing address
646 MAIN ST, 2ND FLOOR, PORT JEFFERSON, NY 11777-2235
(631) 642-7474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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