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Individual
IDALIA CENTENO-DIAZ
Active
Individual
IDALIA CENTENO-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7597
PR
1041C0700X
Clinical Social Worker
12513
CT
1041C0700X
Clinical Social Worker
Primary
125302
MA
Other
Enumeration date
02/01/2018
Last updated
01/06/2023
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