Individual
DIANA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5102 BLUE JAY WAY, WEST WINDSOR, NJ 08550-5421
(609) 356-8129
Mailing address
5102 BLUE JAY WAY, WEST WINDSOR, NJ 08550-5421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06345400
NJ
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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