Individual
JULIE A. DIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, LCSW
Contact information
Practice address
11 N TRAINOR AVE, MANORVILLE, NY 11949-3231
(631) 878-5007
(631) 878-5007
Mailing address
11 N TRAINOR AVE, MANORVILLE, NY 11949-3231
(631) 878-5007
(631) 878-5007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000124
NY
104100000X
Social Worker
055093-1
NY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/02/2014
Last updated
04/05/2022
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