Individual
MS. DIANE LEE VOLLENWEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 OLD HOOK RD, WESTWOOD, NJ 07675-2400
(201) 666-2400
(201) 666-2472
Mailing address
15-08 GEORGE ST, FAIR LAWN, NJ 07410-1904
(201) 796-6912
(973) 956-7393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05327800
NJ
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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