Individual
MRS. DIANE DIRESTA-MAIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LMSW
Contact information
Practice address
10 CORPORATE PL S, PISCATAWAY, NJ 08854-6148
(908) 647-0180
Mailing address
31 TALL TREE RD, MIDDLETOWN, NJ 07748-2925
(732) 546-8658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
099961
NY
104100000X
Social Worker
Primary
44SL06036500
NJ
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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