# JANIELLY SPAGOLA DIAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588986806
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | 269015 | SC | Yes |
| 104100000X | Social Worker | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 09/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1588615918 | — | SC |