Name | ALBERT DIANE ROSE |
---|---|
Address | CHAPPAQUANY |
Profession | LICENSED CLINICAL SOCIAL WORK |
License No | 021041 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron01/26/79) |
Additional Qualification | P -3-year psychotherapy privilege |
Status | REGISTERED |
Registered through last day of |