Individual
MRS. DIANA MARCELA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 PROSPECT AVENUE, DON IMUS BUILDING, HACKENSACK, NJ 07601-0766
(201) 421-9719
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05746000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05998500
NJ
Other
Enumeration date
06/12/2012
Last updated
10/28/2024
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