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Individual

MS. DIANA MACINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10 ALLEN ST, SUITE 2A, TOMS RIVER, NJ 08753-7652
(732) 281-3323
(732) 281-3326
Mailing address
10 ALLEN ST, SUITE 2A, TOMS RIVER, NJ 08753-7652
(732) 281-3323
(732) 281-3326

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00338900
NJ

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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