Individual
MS. DIANA MARCELA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2740 PROSPERITY AVE STE 200, FAIRFAX, VA 22031-4354
(703) 321-2687
Mailing address
2740 PROSPERITY AVE STE 200, FAIRFAX, VA 22031-4354
(703) 321-2687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009051
VA
Other
Enumeration date
03/19/2008
Last updated
01/26/2016
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