Diane M Park, LCSW
NPI #1588392070 in Old Tappan, New Jersey
Provider Information
- NPI Number
- 1588392070
- Entity Type
- Individual
- Name
- Diane M Park, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 11, 2022
- Last Updated
- Feb 6, 2025
Practice Location
- Address
- 180 OLD TAPPAN RD STE 9
- City
- Old Tappan
- State
- New Jersey
- ZIP Code
- 07675-7048
- Phone
- (929) 376-8868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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