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Individual

DIA DEANGELIS

Active
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Individual

DIA DEANGELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
44SC05827100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05827100

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041C0700X
NJ
Enumeration date
03/25/2019
Last updated
03/25/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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