Individual
MS. DIANA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
183 OLD TAPPAN RD STE 7, OLD TAPPAN, NJ 07675-7088
(201) 870-4725
Mailing address
183 OLD TAPPAN RD STE 7, OLD TAPPAN, NJ 07675-7088
(201) 870-4725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06452900
NJ
Other
Enumeration date
09/21/2016
Last updated
03/29/2025
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