Individual
INNA DYADYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9 GARWOOD RD, FAIR LAWN, NJ 07410-4502
(917) 535-9425
Mailing address
9 GARWOOD RD, FAIR LAWN, NJ 07410-4502
(917) 535-9425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05652600
NJ
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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