JENNIFER LYNNE DIBIASE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023855

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNNE

Last Name

DIBIASE

Business Name

JENNIFER LYNNE DIBIASE

Original Issue Date

10/13/2021

Effective Date

10/13/2021

Expiration Date

11/30/2023

City

BROOKLYN

State

Zip

11209

County

NEW YORK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024