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Individual
DIANE MILLER JOHNSON
Active
Individual
DIANE MILLER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R026438-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051430
GHI
NY
01
—
145905
VALUE OPTIONS
NY
01
—
24294
VYTRA
NY
01
—
7708481
AETNA
NY
01
—
AA73458
MDNY
NY
01
—
P2781814
OXFORD
NY
Enumeration date
10/11/2006
Last updated
07/08/2007
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