| 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 |