MRS. Diane Jean Ivanov, LCSW
NPI #1932183100 in Milltown, New Jersey
Provider Information
- NPI Number
- 1932183100
- Entity Type
- Individual
- Name
- MRS. Diane Jean Ivanov, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 1, 2005
- Last Updated
- Apr 12, 2017
Practice Location
- Address
- 77 N MAIN ST
- Address 2
- STE 4
- City
- Milltown
- State
- New Jersey
- ZIP Code
- 08850-1521
- Phone
- (718) 496-1149
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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