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Individual
PAUL BALTAZAR DIAZ JR.
Active
Individual
PAUL BALTAZAR DIAZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
69996
TX
101YP2500X
Professional Counselor
Primary
69996
TX
Other
Enumeration date
05/16/2013
Last updated
09/02/2015
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