Individual
MS. DIANE NATHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 GODWIN AVE, RIDGEWOOD, NJ 07450-3705
(201) 670-0269
Mailing address
372 ROCHELLE AVE, ROCHELLE PARK, NJ 07662-3812
(201) 712-0102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04319100
NJ
Other
Enumeration date
04/25/2007
Last updated
03/01/2009
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