Individual
MS. DIANNA NICOLE YPHANTIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4 FOREST AVE, PARAMUS, NJ 07652-5237
(973) 922-0310
Mailing address
35-06 HIGH ST, FAIR LAWN, NJ 07410-5219
(201) 663-0419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL06487900
NJ
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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