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Individual
MR. RICK DION DIAZ
Active
Individual
MR. RICK DION DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10494
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
928335
AHCCCS #
AZ
Enumeration date
07/02/2006
Last updated
07/08/2007
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