Individual
DIANA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCW
Contact information
Practice address
4305 CREST LN, FORT LEE, NJ 07024-2232
(917) 420-6645
Mailing address
4305 CREST LN, FORT LEE, NJ 07024-2232
(917) 420-6645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085046
NY
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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