Individual
DIANE SUSAN LAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1259 ROUTE 46, 100A BUILDING 2, PARSIPPANY, NJ 07054-4913
(973) 316-9333
(973) 839-3736
Mailing address
7 INDUSTRIAL RD, PEQUANNOCK, NJ 07440-1901
(973) 839-2550
(973) 686-2240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC00132
NJ
Other
Enumeration date
12/06/2006
Last updated
08/01/2016
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