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Individual

MS. DIANE C. SARDANOPOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
89 3RD AVE, HAWTHORNE, NJ 07506-2413
(201) 873-6496
(201) 265-7641
Mailing address
48 GROVE ST, WANAQUE, NJ 07465-1921
(201) 873-6496
(201) 265-7641

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00343200
NJ

Other

Enumeration date
10/21/2010
Last updated
10/21/2010
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